Mrs Carolyn Mary Flaherty, RN is a medicare enrolled "Nurse Practitioner - Adult Health" in W. Islip, New York. Her current practice location is
31 Sequams Lane, W. Islip, New York. You can reach out to her office (for appointments etc.) via phone at
(631) 669-8377.
Mrs Carolyn Mary Flaherty is licensed to practice in New York (license number 305943) 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 1538473731.
Provider's Profile
| Full Name | Mrs Carolyn Mary Flaherty |
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| Gender | Female |
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| Speciality | Nurse Practitioner - Adult Health |
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| Location | 31 Sequams Lane, W. Islip, 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: 1538473731
- Provider Enumeration Date: 07/29/2010
- Last Update Date: 06/04/2013
Medicare PECOS Information:
- PECOS PAC ID: 6305163809
- Enrollment ID: I20150825004153
Medical Identifiers
Medical identifiers for Mrs Carolyn Mary Flaherty such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1538473731 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 163W00000X | Registered Nurse | 22568176 (New York) | Secondary |
| 363LA2200X | Nurse Practitioner - Adult Health | 305943 (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. Mrs Carolyn Mary Flaherty allows following entities to bill medicare on her behalf.
| Entity Name | County Of Suffolk |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1285750737 PECOS PAC ID: 2264344316 Enrollment ID: O20040317000525 |
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| Entity Name | Family Service League Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1528093242 PECOS PAC ID: 4284524448 Enrollment ID: O20040319000463 |
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| Entity Name | New Horizon Counseling Center Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1366430563 PECOS PAC ID: 4880681295 Enrollment ID: O20040428000452 |
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| Entity Name | North Shore-lij Medical Pc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1053688572 PECOS PAC ID: 3375701568 Enrollment ID: O20120220000262 |
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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. Mrs Carolyn Mary Flaherty 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 |
Mrs Carolyn Mary Flaherty, RN 31 Sequams Lane, W. Islip, NY 11795 Ph: (631) 669-8377 | Mrs Carolyn Mary Flaherty, RN 31 Sequams Lane, W. Islip, NY 11795 Ph: (631) 669-8377 |
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