Katlyn Ann Conville, NP - Medicare Nurse Practitioner in Port Jefferson, NY

Katlyn Ann Conville, NP is a medicare enrolled "Nurse Practitioner - Family" in Port Jefferson, New York. She went to State University Of New York At Stony Brook, School Of Medicine and graduated in 2019 and has 5 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice John T Mather Memorial Hospital, Harbor View Medical Services Pc and her current practice location is 75 N Country Rd, Port Jefferson, New York. You can reach out to her office (for appointments etc.) via phone at (631) 686-2565.

Katlyn Ann Conville is licensed to practice in New York (license number 344632) 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 1023679503.

Contact Information

Katlyn Ann Conville, NP
75 N Country Rd,
Port Jefferson, NY 11777-2119
(631) 686-2565
Not Available

Map and Direction




Provider's Profile

Full NameKatlyn Ann Conville
GenderFemale
SpecialityNurse Practitioner
Experience5 Years
Location75 N Country Rd, Port Jefferson, New York
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:
  • Katlyn Ann Conville attended and graduated from State University Of New York At Stony Brook, School Of Medicine in 2019
  NPI Data:
  • NPI Number: 1023679503
  • Provider Enumeration Date: 06/25/2019
  • Last Update Date: 06/25/2019
  Medicare PECOS Information:
  • PECOS PAC ID: 3072842681
  • Enrollment ID: I20190906002830

Medical Identifiers

Medical identifiers for Katlyn Ann Conville such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1023679503NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LF0000XNurse Practitioner - Family 344632 (New York)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
John T Mather Memorial Hospital Of Port JeffersonPort jefferson, NYHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
John T Mather Memorial Hospital1254237753140
Harbor View Medical Services Pc509286587348

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. Katlyn Ann Conville allows following entities to bill medicare on her behalf.
Entity NameHarbor View Medical Services Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1861636219
PECOS PAC ID: 5092865873
Enrollment ID: O20090617000230
Entity NameJohn T Mather Memorial Hospital
Entity TypePart B Supplier - Hospital Department(s)
Entity IdentifiersNPI Number: 1922486182
PECOS PAC ID: 1254237753
Enrollment ID: O20150804004898

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. Katlyn Ann Conville 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
Katlyn Ann Conville, NP
75 N Country Rd,
Port Jefferson, NY 11777-2119

Ph: () -
Katlyn Ann Conville, NP
75 N Country Rd,
Port Jefferson, NY 11777-2119

Ph: (631) 686-2565

Reviews and Comments


Nurse Practitioner Nurses in Port Jefferson, NY

Ms. Janice Fleischman Eaton, ANP-C
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 23 Old Post Road East, Port Jefferson, NY 11777
Phone: 631-928-7999    
Joanne F Angstadt, ACNP
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 200 Belle Terre Road, Port Jefferson, NY 11733
Phone: 631-675-2462    
Kenneth William Nissen, ANP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 75 N Country Rd, Port Jefferson, NY 11777
Phone: 631-476-2786    
Ms. Christine Julia Mckeon, PMHNP
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 100 Highlands Blvd, Port Jefferson, NY 11777
Phone: 631-473-3877    
Joan L Nathan, A.N.P.
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 120 N Country Rd, Port Jefferson, NY 11777
Phone: 631-928-4586    
Genine Schwinge,
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 75 N Country Rd, Port Jefferson, NY 11777
Phone: 631-473-1320    Fax: 631-686-7653

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.