Dr Kathleen Grady Waldron, PHD APN is a medicare enrolled "Psychologist" provider in Plainfield, New Jersey. Her current practice location is
117 - 119 Roosevelt Ave., Ucpc Behavioral Healthcare, Plainfield, New Jersey. You can reach out to her office (for appointments etc.) via phone at
(908) 756-6870.
Dr Kathleen Grady Waldron is licensed to practice in New Jersey (license number 355100358000) 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 1558587543.
Healthcare Provider's Profile
| Full Name | Dr Kathleen Grady Waldron |
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| Gender | Female |
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| Speciality | Psychologist |
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| Location | 117 - 119 Roosevelt Ave., Plainfield, New Jersey |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1558587543
- Provider Enumeration Date: 04/18/2007
- Last Update Date: 07/29/2015
Medicare PECOS Information:
- PECOS PAC ID: 6901847995
- Enrollment ID: I20131022000305
Medical Identifiers
Medical identifiers for Dr Kathleen Grady Waldron such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1558587543 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 103T00000X | Psychologist | 355100358000 (New Jersey) | Primary |
| 163WP0808X | Registered Nurse - Psychiatric/mental Health | 26NR05725200 (New Jersey) | Secondary |
| 364SP0808X | Clinical Nurse Specialist - Psychiatric/mental Health | 26NC05725200 (New Jersey) | Secondary |
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. Dr Kathleen Grady Waldron allows following entities to bill medicare on her behalf.
| Entity Name | Centerpath Wellness Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1962459552
PECOS PAC ID: 0042368136
Enrollment ID: O20090429000330 |
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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. Dr Kathleen Grady Waldron 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 |
|---|
Dr Kathleen Grady Waldron, PHD APN
117 - 119 Roosevelt Ave., Ucpc Behavioral Healthcare,
Plainfield, NJ 07060
Ph: (908) 756-6870 | Dr Kathleen Grady Waldron, PHD APN
117 - 119 Roosevelt Ave., Ucpc Behavioral Healthcare,
Plainfield, NJ 07060
Ph: (908) 756-6870 |
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