Ginger Lee Coburn, FNP is a medicare enrolled "Nurse Practitioner - Family" in Sour Lake, Texas. Her current practice location is
16019 Atlantic Rd, Sour Lake, Texas. You can reach out to her office (for appointments etc.) via phone at
(409) 651-0856.
Ginger Lee Coburn is licensed to practice in Texas (license number 1027647) 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 1396526125.
Provider's Profile
Full Name | Ginger Lee Coburn |
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Gender | Female |
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Speciality | Nurse Practitioner - Family |
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Location | 16019 Atlantic Rd, Sour Lake, Texas |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1396526125
- Provider Enumeration Date: 10/09/2023
- Last Update Date: 10/09/2023
Medicare PECOS Information:
- PECOS PAC ID: 1951758978
- Enrollment ID: I20231114000666
Medical Identifiers
Medical identifiers for Ginger Lee Coburn such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1396526125 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
363LF0000X | Nurse Practitioner - Family | 1027647 (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. Ginger Lee Coburn allows following entities to bill medicare on her behalf.
Entity Name | Signify Health Medical Associates Pllc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1750845863 PECOS PAC ID: 2163764424 Enrollment ID: O20190520001486 |
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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. Ginger Lee Coburn 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 |
Ginger Lee Coburn, FNP 16019 Atlantic Rd, Sour Lake, TX 77659-7853 Ph: (409) 651-0856 | Ginger Lee Coburn, FNP 16019 Atlantic Rd, Sour Lake, TX 77659-7853 Ph: (409) 651-0856 |
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