Katie Brouillard O'brien, NP is a medicare enrolled "Dermatology" in Worcester, Massachusetts. She graduated from nursing school in 2008 and has 18 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Integrated Dermatology Of Worcester Ii Llc, Mystic Valley Dermatology Associates Pc and her current practice location is
255 Park Ave Ste 509, Worcester, Massachusetts. You can reach out to her office (for appointments etc.) via phone at
(508) 890-5500.
Katie Brouillard O'brien is licensed to practice in Massachusetts (license number 284603) 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 1801048921.
Provider's Profile
| Full Name | Katie Brouillard O'brien |
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| Gender | Female |
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| Speciality | Nurse Practitioner |
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| Experience | 18 Years |
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| Location | 255 Park Ave Ste 509, Worcester, Massachusetts |
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| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Katie Brouillard O'brien graduated from nursing school in 2008
NPI Data:
- NPI Number: 1801048921
- Provider Enumeration Date: 10/21/2008
- Last Update Date: 01/26/2026
Medicare PECOS Information:
- PECOS PAC ID: 3375603459
- Enrollment ID: I20081119000312
Medical Identifiers
Medical identifiers for Katie Brouillard O'brien such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1801048921 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 363L00000X | Nurse Practitioner | 284603 (Massachusetts) | Secondary |
| 207N00000X | Dermatology | 284603 (Massachusetts) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Integrated Dermatology Of Worcester Ii Llc | 0042616153 | 3 |
| Mystic Valley Dermatology Associates Pc | 8022083344 | 11 |
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. Katie Brouillard O'brien allows following entities to bill medicare on her behalf.
| Entity Name | Mystic Valley Dermatology Associates Pc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1548213606
PECOS PAC ID: 8022083344
Enrollment ID: O20040831000531 |
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| Entity Name | Integrated Dermatology Of Worcester Ii Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1659046340
PECOS PAC ID: 0042616153
Enrollment ID: O20210914003199 |
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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. Katie Brouillard O'brien 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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Katie Brouillard O'brien, NP
36 Adams Street,
Quincy, MA 02169
Ph: (617) 773-0711 | Katie Brouillard O'brien, NP
255 Park Ave Ste 509,
Worcester, MA 01609-1989
Ph: (508) 890-5500 |
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