Fristanto Kurniawan, MSN, RN, AGACNP-BC in Shenandoah, TX

Fristanto Kurniawan, MSN, RN, AGACNP-BC is a medicare enrolled "Nurse Practitioner - Acute Care" in Shenandoah, Texas. His current practice location is 9250 Pinecroft Dr, Shenandoah, Texas. You can reach out to his office (for appointments etc.) via phone at (713) 897-2300.

Fristanto Kurniawan is licensed to practice in Texas (license number 1006744) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1821600487.

Contact Information

	Fristanto Kurniawan, MSN, RN, AGACNP-BC
	9250 Pinecroft Dr, Shenandoah, TX 77380-3218
	(713) 897-2300
	Not Available

Map and Direction

Provider's Profile

Full Name	Fristanto Kurniawan
Gender	Male
Speciality	Nurse Practitioner - Acute Care
Location	9250 Pinecroft Dr, Shenandoah, Texas
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1821600487
Provider Enumeration Date: 08/17/2020
Last Update Date: 07/05/2022

Medicare PECOS Information:

PECOS PAC ID: 0648643932
Enrollment ID: I20230317000596

Medical Identifiers

Medical identifiers for Fristanto Kurniawan such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1821600487	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LA2100X	Nurse Practitioner - Acute Care	1006744 (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. Fristanto Kurniawan allows following entities to bill medicare on his behalf.

Entity Name	Benchmark Inpatient Services Pllc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1285111021 PECOS PAC ID: 3678821469 Enrollment ID: O20180810001269

Entity Name	Intensivist Medicine Services Of Tx, Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1790478444 PECOS PAC ID: 3476915190 Enrollment ID: O20230811003288

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. Fristanto Kurniawan 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
Fristanto Kurniawan, MSN, RN, AGACNP-BC 1111 Medical Plaza Dr Ste 250, The Woodlands, TX 77380-3477 Ph: (281) 296-8788	Fristanto Kurniawan, MSN, RN, AGACNP-BC 9250 Pinecroft Dr, Shenandoah, TX 77380-3218 Ph: (713) 897-2300

Reviews and Comments

Nurse Practitioner Nurses in Shenandoah, TX

Karen Lee Mackenney, RN, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 135 Vision Park Blvd, Shenandoah, TX 77384 Phone: 281-404-3000 Fax: 281-290-9824
Mrs. Ronia J Khouri, AGACNP-BC, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 9250 Pinecroft Dr, Shenandoah, TX 77380 Phone: 713-897-2300
Mr. Peter Robert Schultz, MSN, CRNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 17189 Interstate 45 S Ste 675, Shenandoah, TX 77385 Phone: 936-270-3905 Fax: 936-271-1584
Miss Eliza Beth Codd, ARNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 150 Pine Forest Dr Ste 703, Shenandoah, TX 77384 Phone: 281-939-5915 Fax: 281-982-1808
Summer Renee Shields, AGACNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 9250 Pinecroft Dr # N2.101, Shenandoah, TX 77380 Phone: 713-897-5539 Fax: 713-897-2275
Maria Ivy Claborn, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 150 Pine Forest Dr Ste 101, Shenandoah, TX 77384 Phone: 832-610-2822
Lindsay Ann Ross, N.P. Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 920 Medical Plaza Dr Ste 520, Shenandoah, TX 77380 Phone: 832-562-3974 Fax: 832-562-3974

Fristanto Kurniawan, MSN, RN, AGACNP-BC - Medicare Nurse Practitioner in Shenandoah, TX