Kathleen Mincone, is a medicare enrolled "Nurse Practitioner - Acute Care" in South Huntington, New York. Her current practice location is
12 Schubert Ct, South Huntington, New York. You can reach out to her office (for appointments etc.) via phone at
(631) 903-3975.
Kathleen Mincone is licensed to practice in New York (license number 431643) 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 1104460245.
Provider's Profile
| Full Name | Kathleen Mincone |
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| Gender | Female |
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| Speciality | Nurse Practitioner - Acute Care |
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| Location | 12 Schubert Ct, South Huntington, New York |
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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: 1104460245
- Provider Enumeration Date: 11/01/2019
- Last Update Date: 11/01/2019
Medicare PECOS Information:
- PECOS PAC ID: 1355777913
- Enrollment ID: I20200130002449
Medical Identifiers
Medical identifiers for Kathleen Mincone such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1104460245 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 363LA2100X | Nurse Practitioner - Acute Care | 431643 (New York) | 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 Mincone allows following entities to bill medicare on her behalf.
| Entity Name | Memorial Solid Tumor Group |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1699746172 PECOS PAC ID: 4082503354 Enrollment ID: O20040313000668 |
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| Entity Name | Memorial Developmental Chemo Group |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1912978487 PECOS PAC ID: 5395636419 Enrollment ID: O20040320000110 |
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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 Mincone 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 Mincone, 12 Schubert Ct, South Huntington, NY 11746-4753 Ph: () - | Kathleen Mincone, 12 Schubert Ct, South Huntington, NY 11746-4753 Ph: (631) 903-3975 |
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