Isabelle Kathryn Avildsen, PHD is a medicare enrolled "Clinical Neuropsychologist" provider in New York, New York. Her current practice location is
223 E 34th St, New York, New York. You can reach out to her office (for appointments etc.) via phone at
(917) 270-0693.
Isabelle Kathryn Avildsen is licensed to practice in New York (license number 025804) 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 1497598080.
Healthcare Provider's Profile
Full Name | Isabelle Kathryn Avildsen |
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Gender | Female |
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Speciality | Clinical Neuropsychologist |
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Location | 223 E 34th St, New York, 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: 1497598080
- Provider Enumeration Date: 06/13/2024
- Last Update Date: 06/13/2024
Medicare PECOS Information:
- PECOS PAC ID: 0345771952
- Enrollment ID: I20241008000059
Medical Identifiers
Medical identifiers for Isabelle Kathryn Avildsen such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1497598080 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
103TC0700X | Psychologist - Clinical | 025804 (New York) | Secondary |
103G00000X | Clinical Neuropsychologist | 025804 (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. Isabelle Kathryn Avildsen allows following entities to bill medicare on her behalf.
Entity Name | New York University |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1285826438 PECOS PAC ID: 1355232422 Enrollment ID: O20090822000026 |
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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. Isabelle Kathryn Avildsen 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 |
Isabelle Kathryn Avildsen, PHD 223 E 34th St, New York, NY 10016-4852 Ph: (917) 270-0693 | Isabelle Kathryn Avildsen, PHD 223 E 34th St, New York, NY 10016-4852 Ph: (917) 270-0693 |
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