Kathleen Doris Senecal, FNP-C, MSN, CWCN is a medicare enrolled "Nurse Practitioner - Family" in North Pole, Alaska. Her current practice location is
2755 Dagan Cir, North Pole, Alaska. You can reach out to her office (for appointments etc.) via phone at
(907) 750-9721.
Kathleen Doris Senecal is licensed to practice in Alaska (license number 146162) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1235561127.
Provider's Profile
Full Name | Kathleen Doris Senecal |
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Gender | Female |
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Speciality | Nurse Practitioner - Family |
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Location | 2755 Dagan Cir, North Pole, Alaska |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1235561127
- Provider Enumeration Date: 08/02/2013
- Last Update Date: 06/19/2019
Medicare PECOS Information:
- PECOS PAC ID: 7113359308
- Enrollment ID: I20191108000724
Medical Identifiers
Medical identifiers for Kathleen Doris Senecal such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1235561127 | NPI | - | NPPES |
146162 | Other | AK | LICENSE NUMBER |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
163WW0000X | Registered Nurse - Wound Care | 30133 (Alaska) | Secondary |
363LF0000X | Nurse Practitioner - Family | 146162 (Alaska) | Primary |
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. Kathleen Doris Senecal allows following entities to bill medicare on her behalf.
Entity Name | Tanana Valley Clinic Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1922559558 PECOS PAC ID: 5698056901 Enrollment ID: O20161228001991 |
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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. Kathleen Doris Senecal 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 |
Kathleen Doris Senecal, FNP-C, MSN, CWCN 2755 Dagan Cir, North Pole, AK 99705-6498 Ph: (907) 750-9721 | Kathleen Doris Senecal, FNP-C, MSN, CWCN 2755 Dagan Cir, North Pole, AK 99705-6498 Ph: (907) 750-9721 |
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