Kathleen Keller Siegel, PA - Medicare Physician Assistant in Charlotte, NC

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Kathleen Keller Siegel, PA is a medicare enrolled "Physician Assistant" in Charlotte, North Carolina. She graduated from nursing school in 2015 and has 11 years of diverse experience with area of expertise as Physician Assistant. She is a member of the group practice Carolinas Physicians Network Inc, Carolina Medicorp Enterprises Llc and her current practice location is 8450 Park Rd, Charlotte, North Carolina. You can reach out to her office (for appointments etc.) via phone at (980) 308-0143.

Kathleen Keller Siegel is licensed to practice in North Carolina (license number 0010-06188) 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 1629439401.

Contact Information

Kathleen Keller Siegel, PA
8450 Park Rd,
Charlotte, NC 28210-5801
(980) 308-0143
(980) 308-0142

Map and Direction




Provider's Profile

Full NameKathleen Keller Siegel
GenderFemale
SpecialityPhysician Assistant
Experience11 Years
Location8450 Park Rd, Charlotte, North Carolina
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Kathleen Keller Siegel graduated from nursing school in 2015
  NPI Data:
  • NPI Number: 1629439401
  • Provider Enumeration Date: 03/08/2016
  • Last Update Date: 05/12/2022
  Medicare PECOS Information:
  • PECOS PAC ID: 6901105345
  • Enrollment ID: I20160505002081

Medical Identifiers

Medical identifiers for Kathleen Keller Siegel such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1629439401NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363A00000XPhysician Assistant 0010-06188 (North Carolina)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Carolinas Physicians Network Inc33754496552324
Carolina Medicorp Enterprises Llc0648174904184

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 Keller Siegel allows following entities to bill medicare on her behalf.
Entity NameCarolina Medicorp Enterprises LLC
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1760950646
PECOS PAC ID: 0648174904
Enrollment ID: O20040110000190
Entity NameCarolinas Physicians Network Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1437607686
PECOS PAC ID: 3375449655
Enrollment ID: O20040115000819
Entity NameNH Digital Health Services LLC
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1427683044
PECOS PAC ID: 9537588934
Enrollment ID: O20201005002074

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 Keller Siegel 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 AddressPractice Location Address
Kathleen Keller Siegel, PA
Po Box 601843,
Charlotte, NC 28260-1843

Ph: Not Available		Kathleen Keller Siegel, PA
8450 Park Rd,
Charlotte, NC 28210-5801

Ph: (980) 308-0143

Reviews and Comments


Physician Assistant Nurses in Charlotte, NC

Olga Maria Kramer, PA-C
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Phone: 704-376-7362    Fax: 704-376-1939
Mrs. Christine Mccree Patrocinio Massinga, P.A.-C
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Practice Location: 3250 Wilkinson Blvd, Charlotte, NC 28208
Phone: 704-319-5176    Fax: 980-819-7900
Shelda Amilcka, PA-C
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Practice Location: 1900 Randolph Rd Ste 300, Charlotte, NC 28207
Phone: 704-384-6225    Fax: 704-316-3825
Ms. Mariah Leigh Rodriguez, PA
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Medicare: Accepting Medicare Assignments
Practice Location: 11840 Southmore Dr Ste 100, Charlotte, NC 28277
Phone: 980-308-0169    Fax: 980-308-0173
Lauren Michelle Ramsey, PA
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Medicare: Accepting Medicare Assignments
Practice Location: 1237 Harding Pl, Ste 4300, Charlotte, NC 28204
Phone: 704-373-0212    
Emily Batchelor Culley,
Physician Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 125 Queens Rd Ste 200, Charlotte, NC 28204
Phone: 704-343-9800    Fax: 704-347-2011
Amy Suzanne Buery, PA-C
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Medicare: May Accept Medicare Assignments
Practice Location: 7903 Providence Rd Ste 100, Charlotte, NC 28277
Phone: 704-316-4460    Fax: 704-316-4466

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.