Kathia Desronvil, NP in Patchogue, NY - Medicare Nurse Practitioner

Kathia Desronvil, NP is a medicare enrolled "Nurse Practitioner - Family" in Patchogue, New York. She graduated from nursing school in 2015 and has 10 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Sound Physicians Of Massachusetts Inc, Ingleside Physician Services, Llc and her current practice location is 101 Hospital Rd, Patchogue, New York. You can reach out to her office (for appointments etc.) via phone at (631) 654-7100.

Kathia Desronvil is licensed to practice in Illinois (license number 041582293) 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 1760669659.

Contact Information

	Kathia Desronvil, NP
	101 Hospital Rd, Patchogue, NY 11772-4870
	(631) 654-7100
	Not Available

Map and Direction

Provider's Profile

Full Name	Kathia Desronvil
Gender	Female
Speciality	Nurse Practitioner
Experience	10 Years
Location	101 Hospital Rd, Patchogue, New York
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:

Kathia Desronvil graduated from nursing school in 2015

NPI Data:

NPI Number: 1760669659
Provider Enumeration Date: 01/23/2008
Last Update Date: 03/11/2025

Medicare PECOS Information:

PECOS PAC ID: 5597840637
Enrollment ID: I20080313000043

Medical Identifiers

Medical identifiers for Kathia Desronvil such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1760669659	NPI	-	NPPES
1760669659	Medicaid	NC
NP4135	Medicaid	SC

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	041582293 (Illinois)	Primary
363LG0600X	Nurse Practitioner - Gerontology	041582293 (Illinois)	Secondary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Signature Healthcare Brockton Hospital	Brockton, MA	Hospital
Lewisgale Hospital Alleghany	Low moor, VA	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Sound Physicians Of Massachusetts Inc	2062554637	63
Ingleside Physician Services, Llc	6103174255	9

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. Kathia Desronvil allows following entities to bill medicare on her behalf.

Entity Name	Sound Physicians Of Massachusetts Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1740678408 PECOS PAC ID: 2062554637 Enrollment ID: O20100120000133

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. Kathia Desronvil 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
Kathia Desronvil, NP 6409 Truxton Ln, Raleigh, NC 27616-8099 Ph: (781) 363-6938	Kathia Desronvil, NP 101 Hospital Rd, Patchogue, NY 11772-4870 Ph: (631) 654-7100

Reviews and Comments

Nurse Practitioner Nurses in Patchogue, NY

Linda Belber, ANP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 68 Washington Ave, Patchogue, NY 11772 Phone: 631-269-5800
Mrs. Ashley Reynolds, FNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 43 Rowland St, Patchogue, NY 11772 Phone: 631-578-8138
Bernice Bouzy, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 365 E Main St, Patchogue, NY 11772 Phone: 631-866-2030
Taryn Fellini, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 152 N Ocean Ave, Patchogue, NY 11772 Phone: 631-913-8239
Marie Christine Didonato, PMHNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 122 W Roe Blvd, Patchogue, NY 11772 Phone: 516-728-4945
Debra Tesoriero, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 155 E Woodside Ave, Patchogue, NY 11772 Phone: 631-758-6565 Fax: 631-758-6568
Ms. Lisa Michelle Hodge-scelsa, NURSE PRACTITIONER Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 77 Medford Ave, Route 112, Patchogue, NY 11772 Phone: 631-758-4444 Fax: 631-758-1984

Kathia Desronvil, NP - Medicare Nurse Practitioner in Patchogue, NY