Chloe Noelle Bequillard, is a medicare enrolled "Nurse Practitioner - Family" in Port Aransas, Texas. Her current practice location is
600 Cut Off Rd, Port Aransas, Texas. You can reach out to her office (for appointments etc.) via phone at
(361) 749-1930.
Chloe Noelle Bequillard is licensed to practice in Texas (license number 1004796) 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 1558113332.
Provider's Profile
| Full Name | Chloe Noelle Bequillard |
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| Gender | Female |
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| Speciality | Nurse Practitioner - Family |
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| Location | 600 Cut Off Rd, Port Aransas, Texas |
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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: 1558113332
- Provider Enumeration Date: 04/03/2024
- Last Update Date: 04/08/2024
Medicare PECOS Information:
- PECOS PAC ID: 8224562343
- Enrollment ID: I20241112004392
Medical Identifiers
Medical identifiers for Chloe Noelle Bequillard such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1558113332 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 363LF0000X | Nurse Practitioner - Family | 1004796 (Texas) | 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. Chloe Noelle Bequillard allows following entities to bill medicare on her behalf.
| Entity Name | Bruce L Russell Md Pllc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1134385198
PECOS PAC ID: 1759510985
Enrollment ID: O20140210000556 |
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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. Chloe Noelle Bequillard 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 |
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Chloe Noelle Bequillard,
13766 Three Fathoms Bank Dr,
Corpus Christi, TX 78418-6351
Ph: (423) 489-2692 | Chloe Noelle Bequillard,
600 Cut Off Rd,
Port Aransas, TX 78373-4245
Ph: (361) 749-1930 |
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