Mrs Kathryn R Stauder, AGACNP-BC in Great Neck, NY

Mrs Kathryn R Stauder, AGACNP-BC is a medicare enrolled "Nurse Practitioner - Acute Care" in Great Neck, New York. She graduated from nursing school in 2014 and has 12 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice New York University and her current practice location is 310 East Shore Road, Suite #104, Great Neck, New York. You can reach out to her office (for appointments etc.) via phone at (516) 829-9550.

Mrs Kathryn R Stauder is licensed to practice in New York (license number 430847) 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 1427441153.

Contact Information

	Mrs Kathryn R Stauder, AGACNP-BC
	310 East Shore Road, Suite #104, Great Neck, NY 11023
	(516) 829-9550
	(516) 829-9718

Map and Direction

Provider's Profile

Full Name	Mrs Kathryn R Stauder
Gender	Female
Speciality	Nurse Practitioner
Experience	12 Years
Location	310 East Shore Road, Great Neck, New York
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Mrs Kathryn R Stauder graduated from nursing school in 2014

NPI Data:

NPI Number: 1427441153
Provider Enumeration Date: 03/04/2015
Last Update Date: 09/28/2023

Medicare PECOS Information:

PECOS PAC ID: 4688995574
Enrollment ID: I20170301000931

Medical Identifiers

Medical identifiers for Mrs Kathryn R Stauder such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1427441153	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LA2100X	Nurse Practitioner - Acute Care	430847 (New York)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
New York University Langone Medical Center	New york, NY	Hospital
Long Island Community Hospital	Patchogue, NY	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
New York University	1355232422	5027

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 Kathryn R Stauder allows following entities to bill medicare on her behalf.

Entity Name	Chs Physician Partners Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1124497771 PECOS PAC ID: 7618955667 Enrollment ID: O20040708000027

Entity Name	New York University
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1285826438 PECOS PAC ID: 1355232422 Enrollment ID: O20081202000185

Entity Name	New York University
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1285826438 PECOS PAC ID: 1355232422 Enrollment ID: O20090822000026

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 Kathryn R Stauder 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 Kathryn R Stauder, AGACNP-BC 310 East Shore Road, Suite #104, Great Neck, NY 11023 Ph: (516) 829-9550	Mrs Kathryn R Stauder, AGACNP-BC 310 East Shore Road, Suite #104, Great Neck, NY 11023 Ph: (516) 829-9550

Reviews and Comments

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Elissa Michelle Martin, ANP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 310 E Shore Rd Ste 104, Great Neck, NY 11023 Phone: 516-829-9550

Mrs Kathryn R Stauder, AGACNP-BC - Medicare Nurse Practitioner in Great Neck, NY