Kathleen O Demutis, CRNP - Medicare Nurse Practitioner in Paoli, PA

Kathleen O Demutis, CRNP is a medicare enrolled "Nurse Practitioner - Adult Health" in Paoli, Pennsylvania. She graduated from nursing school in 1997 and has 27 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Main Line Healthcare and her current practice location is 255 W Lancaster Ave Ste 330, Paoli, Pennsylvania. You can reach out to her office (for appointments etc.) via phone at (610) 786-3200.

Kathleen O Demutis is licensed to practice in Pennsylvania (license number VP004650C) 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 1184638918.

Contact Information

Kathleen O Demutis, CRNP
255 W Lancaster Ave Ste 330,
Paoli, PA 19301-1766
(610) 786-3200
(610) 786-3208



Provider's Profile

Full NameKathleen O Demutis
GenderFemale
SpecialityNurse Practitioner
Experience27 Years
Location255 W Lancaster Ave Ste 330, Paoli, Pennsylvania
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Kathleen O Demutis graduated from nursing school in 1997
  NPI Data:
  • NPI Number: 1184638918
  • Provider Enumeration Date: 07/28/2006
  • Last Update Date: 07/21/2022
  Medicare PECOS Information:
  • PECOS PAC ID: 1951522242
  • Enrollment ID: I20141030001530

Medical Identifiers

Medical identifiers for Kathleen O Demutis such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1184638918NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363L00000XNurse Practitioner VP004650C (Pennsylvania)Secondary
363LA2200XNurse Practitioner - Adult Health VP004650C (Pennsylvania)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Paoli HospitalPaoli, PAHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Main Line Healthcare1951215201894

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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. Kathleen O Demutis allows following entities to bill medicare on her behalf.
Entity NameMain Line Healthcare
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1922077643
PECOS PAC ID: 1951215201
Enrollment ID: O20040308000373

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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. Kathleen O Demutis 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 AddressPractice Location Address
Kathleen O Demutis, CRNP
255 W. Lancaster Ave, Suite 330,
Paoli, PA 19301

Ph: (610) 786-3200
Kathleen O Demutis, CRNP
255 W Lancaster Ave Ste 330,
Paoli, PA 19301-1766

Ph: (610) 786-3200

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Nurse Practitioner Nurses in Paoli, PA

Jamie L Dillinger, C.R.N.P.
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 21 Industrial Blvd, Suite 101, Paoli, PA 19301
Phone: 610-251-0300    Fax: 610-251-0304
Mrs. Lynn B Wolff, CRNP
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 255 W Lancaster Ave, Paoli, PA 19301
Phone: 484-565-1600    Fax: 610-647-2006
Angela Foster, NP-C
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 1776 E Lancaster Ave, Paoli, PA 19301
Phone: 610-647-4366    
Elizabeth Wray, CRNP
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 30 S Valley Rd Ste 101, Paoli, PA 19301
Phone: 267-553-5063    
Hayley Suzann Swanson, NP
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 11 Industrial Blvd Ste 103, Paoli, PA 19301
Phone: 610-786-3200    
Holly Marks,
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 255 W Lancaster Ave, Paoli, PA 19301
Phone: 484-565-1000    
Kelly N Jones, CRNP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 2 Industrial Blvd Ste 200, Paoli, PA 19301
Phone: 610-647-2400    Fax: 610-647-3902

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