Kathleen Mcewan Pelkofski, CANP is a medicare enrolled "Nurse Practitioner - Adult Health" in Purcelville, Virginia. Her current practice location is
205 E. Hirst Road, Suite 203, Purcelville, Virginia. You can reach out to her office (for appointments etc.) via phone at
(540) 751-0255.
Kathleen Mcewan Pelkofski is licensed to practice in Virginia (license number 0024056702) 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 1073507034.
Provider's Profile
| Full Name | Kathleen Mcewan Pelkofski |
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| Gender | Female |
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| Speciality | Nurse Practitioner - Adult Health |
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| Location | 205 E. Hirst Road, Suite 203, Purcelville, Virginia |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1073507034
- Provider Enumeration Date: 09/07/2005
- Last Update Date: 12/10/2023
Medicare PECOS Information:
- PECOS PAC ID: 2163603549
- Enrollment ID: I20110217000440
Medical Identifiers
Medical identifiers for Kathleen Mcewan Pelkofski such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1073507034 | NPI | - | NPPES |
| 1073507034 | Medicaid | VA | |
| 500012018 | Other | VA | RR MEDICARE PIN |
| 30015473310002 | Medicaid | VA | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 363LA2200X | Nurse Practitioner - Adult Health | 0024056702 (Virginia) | 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 Mcewan Pelkofski allows following entities to bill medicare on her behalf.
| Entity Name | Loudoun Medical Group, Pc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1679591440
PECOS PAC ID: 0042119661
Enrollment ID: O20041115000474 |
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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 Mcewan Pelkofski 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 |
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Kathleen Mcewan Pelkofski, CANP
224-d Cornwall Street, Nw, Suite 403,
Leesburg, VA 20176-2704
Ph: (703) 737-6010 | Kathleen Mcewan Pelkofski, CANP
205 E. Hirst Road, Suite 203,
Purcelville, VA 20132-6600
Ph: (540) 751-0255 |
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