Brittany Marie Kent Khotmanivong, AGACNP in Fort Sam Houston, TX

Brittany Marie Kent Khotmanivong, AGACNP is a medicare enrolled "Nurse Practitioner - Acute Care" in Fort Sam Houston, Texas. Her current practice location is 3551 Roger Brooke Dr, Fort Sam Houston, Texas. You can reach out to her office (for appointments etc.) via phone at (210) 916-0935.

Brittany Marie Kent Khotmanivong is licensed to practice in Tennessee (license number 32563) 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 1578031340.

Contact Information

	Brittany Marie Kent Khotmanivong, AGACNP
	3551 Roger Brooke Dr, Fort Sam Houston, TX 78234-4504
	(210) 916-0935
	Not Available

Map and Direction

Provider's Profile

Full Name	Brittany Marie Kent Khotmanivong
Gender	Female
Speciality	Nurse Practitioner - Acute Care
Location	3551 Roger Brooke Dr, Fort Sam Houston, Texas
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1578031340
Provider Enumeration Date: 11/08/2018
Last Update Date: 08/19/2024

Medicare PECOS Information:

PECOS PAC ID: 7214274596
Enrollment ID: I20221103000157

Medical Identifiers

Medical identifiers for Brittany Marie Kent Khotmanivong such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1578031340	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LA2100X	Nurse Practitioner - Acute Care	APRN-2563 (Hawaii)	Secondary
363LA2100X	Nurse Practitioner - Acute Care	32563 (Tennessee)	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. Brittany Marie Kent Khotmanivong allows following entities to bill medicare on her behalf.

Entity Name	Vanderbilt University Medical Center
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1104202761 PECOS PAC ID: 5092023416 Enrollment ID: O20151006000369

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. Brittany Marie Kent Khotmanivong 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
Brittany Marie Kent Khotmanivong, AGACNP 3551 Roger Brooke Dr, Fort Sam Houston, TX 78234-4504 Ph: (210) 916-0935	Brittany Marie Kent Khotmanivong, AGACNP 3551 Roger Brooke Dr, Fort Sam Houston, TX 78234-4504 Ph: (210) 916-0935

Reviews and Comments

Nurse Practitioner Nurses in Fort Sam Houston, TX

Chikwelu Christian Umeh, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 3551 Roger Brooke Dr, Fort Sam Houston, TX 78234 Phone: 210-916-4141
Anastasiya Zemtsova, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 3551 Roger Brooke Dr, Fort Sam Houston, TX 78234 Phone: 210-916-7500
Cathy Darlene Cotton, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 3851 Roger Brooke Dr, Mche-qd (credentials), Fort Sam Houston, TX 78234 Phone: 210-916-2460
Jessa Perry, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 3551 Roger Brooke Dr, Fort Sam Houston, TX 78234 Phone: 210-539-9582
Leanne Putnam, FNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 3551 Roger Brooke Dr, Fort Sam Houston, TX 78234 Phone: 210-539-9582
Allen Ward Magnone, ACNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 3551 Roger Brooke Dr, Fort Sam Houston, TX 78234 Phone: 210-916-4141
Julia M Ceremuga, CRNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 3851 Roger Brooke Dr, Mche-qd (credentials), Fort Sam Houston, TX 78234 Phone: 210-916-5554 Fax: 210-916-2121

Brittany Marie Kent Khotmanivong, AGACNP - Medicare Nurse Practitioner in Fort Sam Houston, TX