Mary Katherine Hale, APRN in Louisville, KY - Medicare Nurse Practitioner

Mary Katherine Hale, APRN is a medicare enrolled "Nurse Practitioner - Family" in Louisville, Kentucky. Her current practice location is 120 Executive Park, Louisville, Kentucky. You can reach out to her office (for appointments etc.) via phone at (502) 855-7200.

Mary Katherine Hale is licensed to practice in Kentucky (license number 3016762) 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 1356020234.

Contact Information

	Mary Katherine Hale, APRN
	120 Executive Park, Louisville, KY 40207-4201
	(502) 855-7200
	(502) 855-7201

Map and Direction

Provider's Profile

Full Name	Mary Katherine Hale
Gender	Female
Speciality	Nurse Practitioner - Family
Location	120 Executive Park, Louisville, Kentucky
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1356020234
Provider Enumeration Date: 07/17/2023
Last Update Date: 02/13/2024

Medicare PECOS Information:

PECOS PAC ID: 9133580483
Enrollment ID: I20230802002601

Medical Identifiers

Medical identifiers for Mary Katherine Hale such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1356020234	NPI	-	NPPES
30007620	Medicaid	IN
7100910040	Medicaid	KY

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	3016762 (Kentucky)	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. Mary Katherine Hale allows following entities to bill medicare on her behalf.

Entity Name	Commonwealth Pain Associates Pllc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1306280177 PECOS PAC ID: 0941441919 Enrollment ID: O20130802000577

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. Mary Katherine Hale 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
Mary Katherine Hale, APRN Po Box 21890, Belfast, ME 04915-4115 Ph: (502) 907-0356	Mary Katherine Hale, APRN 120 Executive Park, Louisville, KY 40207-4201 Ph: (502) 855-7200

Reviews and Comments

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Mary Katherine Hale, APRN - Medicare Nurse Practitioner in Louisville, KY