Katelyn Diane Pacheco, PA is a medicare enrolled "Physician Assistant" in Washington, New Jersey. She graduated from nursing school in 2025 and has 1 years of diverse experience with area of expertise as Physician Assistant. She is a member of the group practice Passaic River Observation, Llc and her current practice location is
63 Lenape Trl, Washington, New Jersey. You can reach out to her office (for appointments etc.) via phone at
(908) 619-5459.
Katelyn Diane Pacheco is licensed to practice in * (Not Available) (license number ) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1952199051.
Provider's Profile
| Full Name | Katelyn Diane Pacheco |
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| Gender | Female |
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| Speciality | Physician Assistant |
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| Experience | 1 Years |
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| Location | 63 Lenape Trl, Washington, New Jersey |
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| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Medical Education and Training:
- Katelyn Diane Pacheco graduated from nursing school in 2025
NPI Data:
- NPI Number: 1952199051
- Provider Enumeration Date: 04/28/2025
- Last Update Date: 04/28/2025
Medicare PECOS Information:
- PECOS PAC ID: 4880109974
- Enrollment ID: I20250716003859
Medical Identifiers
Medical identifiers for Katelyn Diane Pacheco such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1952199051 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 363A00000X | Physician Assistant | (* (Not Available)) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
| Passaic River Observation, Llc | 0143617126 | 27 |
Medicare Reassignments
Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Katelyn Diane Pacheco allows following entities to bill medicare on her behalf.
| Entity Name | Passaic River Physicians LLC |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1962162644 PECOS PAC ID: 4486041514 Enrollment ID: O20220420000861 |
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| Entity Name | Passaic River Observation, LLC |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1568113348 PECOS PAC ID: 0143617126 Enrollment ID: O20220421000141 |
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Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Katelyn Diane Pacheco is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
Katelyn Diane Pacheco, PA 63 Lenape Trl, Washington, NJ 07882-2143 Ph: (908) 619-5459 | Katelyn Diane Pacheco, PA 63 Lenape Trl, Washington, NJ 07882-2143 Ph: (908) 619-5459 |
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