Kym M Cannizzaro, NP is a medicare enrolled "Nurse Practitioner - Adult Health" in Clarence, New York. She graduated from nursing school in 2017 and has 8 years of diverse experience with area of expertise as Nurse Practitioner. Her current practice location is
9097 Main St, Clarence, New York. You can reach out to her office (for appointments etc.) via phone at
(716) 759-4938.
Kym M Cannizzaro is licensed to practice in New York (license number 308214) 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 1861912206.
Provider's Profile
| Full Name | Kym M Cannizzaro |
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| Gender | Female |
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| Speciality | Nurse Practitioner |
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| Experience | 8 Years |
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| Location | 9097 Main St, Clarence, New York |
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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:
- Kym M Cannizzaro graduated from nursing school in 2017
NPI Data:
- NPI Number: 1861912206
- Provider Enumeration Date: 06/27/2017
- Last Update Date: 06/25/2024
Medicare PECOS Information:
- PECOS PAC ID: 7315283678
- Enrollment ID: I20190108002969
Medical Identifiers
Medical identifiers for Kym M Cannizzaro such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1861912206 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 363LA2200X | Nurse Practitioner - Adult Health | 308214 (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. Kym M Cannizzaro allows following entities to bill medicare on her behalf.
| Entity Name | Kmc Nurse Practitioner In Adult Health Pllc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1295570034
PECOS PAC ID: 0840735866
Enrollment ID: O20240715002865 |
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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. Kym M Cannizzaro 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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Kym M Cannizzaro, NP
9097 Main St,
Clarence, NY 14031-1965
Ph: (716) 759-4938 | Kym M Cannizzaro, NP
9097 Main St,
Clarence, NY 14031-1965
Ph: (716) 759-4938 |
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