Andrea A Downey, MSN, RN - Medicare Counselor in Houston, TX

Andrea A Downey, MSN, RN is a medicare enrolled "Nurse Practitioner - Adult Health" provider in Houston, Texas. She graduated from healthcare school in 2008 and has 16 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Memorial Hermann Medical Group and her current practice location is 1635 North Loop W Ste Se.155, Houston, Texas. You can reach out to her office (for appointments etc.) via phone at (713) 867-2429.

Andrea A Downey is licensed to practice in Texas (license number 642444) 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 1538315692.

Contact Information

Andrea A Downey, MSN, RN
1635 North Loop W Ste Se.155,
Houston, TX 77008-1532
(713) 867-2429
Not Available

Map and Direction


Healthcare Provider's Profile

Full NameAndrea A Downey
GenderFemale
SpecialityNurse Practitioner
Experience16 Years
Location1635 North Loop W Ste Se.155, Houston, Texas
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:
  • Andrea A Downey graduated from medical school in 2008
  NPI Data:
  • NPI Number: 1538315692
  • Provider Enumeration Date: 08/08/2008
  • Last Update Date: 05/20/2021
  Medicare PECOS Information:
  • PECOS PAC ID: 0143231910
  • Enrollment ID: I20160506001704

Medical Identifiers

Medical identifiers for Andrea A Downey such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1538315692NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
101YM0800XCounselor - Mental Health (* (Not Available))Secondary
163WA2000XRegistered Nurse - Administrator 642444 (Texas)Secondary
363LA2200XNurse Practitioner - Adult Health 642444 (Texas)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Memorial Hermann Hospital SystemHouston, TXHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Memorial Hermann Medical Group7012008360601

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. Andrea A Downey allows following entities to bill medicare on her behalf.
Entity NameMemorial Hermann Medical Group
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1003985102
PECOS PAC ID: 7012008360
Enrollment ID: O20070801000368
Entity NameTmh Physician Associates Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1275779225
PECOS PAC ID: 4486711744
Enrollment ID: O20090401000100

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. Andrea A Downey 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
Andrea A Downey, MSN, RN
909 Frostwood Dr Ste 1.100,
Houston, TX 77024-2301

Ph: (713) 338-5519
Andrea A Downey, MSN, RN
1635 North Loop W Ste Se.155,
Houston, TX 77008-1532

Ph: (713) 867-2429

Reviews and Comments


Nurse Practitioner in Houston, TX


Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.