Indavong Phonasa, FNP-C - Medicare Nurse Practitioner in Odessa, TX

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Indavong Phonasa, FNP-C is a medicare enrolled "Nurse Practitioner - Family" in Odessa, Texas. He graduated from nursing school in 2016 and has 8 years of diverse experience with area of expertise as Nurse Practitioner. He is a member of the group practice Palo Pinto County Hospital District and his current practice location is 605 E 4th St, Odessa, Texas. You can reach out to his office (for appointments etc.) via phone at (432) 337-4347.

Indavong Phonasa is licensed to practice in Texas (license number AP131078) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1912356130.

Contact Information

Indavong Phonasa, FNP-C
605 E 4th St,
Odessa, TX 79761-5100
(432) 337-4347
Not Available

Map and Direction




Provider's Profile

Full NameIndavong Phonasa
GenderMale
SpecialityNurse Practitioner
Experience8 Years
Location605 E 4th St, Odessa, Texas
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Indavong Phonasa graduated from nursing school in 2016
  NPI Data:
  • NPI Number: 1912356130
  • Provider Enumeration Date: 06/08/2016
  • Last Update Date: 06/08/2016
  Medicare PECOS Information:
  • PECOS PAC ID: 5395038095
  • Enrollment ID: I20160718001921

Medical Identifiers

Medical identifiers for Indavong Phonasa such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1912356130NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LF0000XNurse Practitioner - Family AP131078 (Texas)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Palo Pinto General HospitalMineral wells, TXHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Palo Pinto County Hospital District589060275929

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. Indavong Phonasa allows following entities to bill medicare on his behalf.
Entity NamePalo Pinto County Hospital District
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1841258076
PECOS PAC ID: 5890602759
Enrollment ID: O20031106000393
Entity NameOdessa Physician Associates Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1457398364
PECOS PAC ID: 8426940115
Enrollment ID: O20040326001291
Entity NamePermian Premier Health Services Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1285664763
PECOS PAC ID: 8426051293
Enrollment ID: O20060816000446
Entity NameComprehensive Hospitalist Services Of Texas Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1295062198
PECOS PAC ID: 8022150036
Enrollment ID: O20100128000411

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. Indavong Phonasa 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
Indavong Phonasa, FNP-C
605 E 4th St,
Odessa, TX 79761-5100

Ph: (432) 337-4347		Indavong Phonasa, FNP-C
605 E 4th St,
Odessa, TX 79761-5100

Ph: (432) 337-4347

Reviews and Comments


Nurse Practitioner Nurses in Odessa, TX

Sandra Nieto, FNP
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Practice Location: 4060 Medical Park Dr, Odessa, TX 79765
Phone: 432-582-2882    Fax: 432-582-2884
Tiffany L Vaught, FNP
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 605 E 4th St Ste 203, Odessa, TX 79761
Phone: 432-617-8329    
Florenda De Guzman,
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 405 N Tom Green, Odessa, TX 79761
Phone: 432-580-9876    Fax: 432-580-9877
Mrs. Sarah Joy Bender, NNP
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 520 E 6th St, Odessa, TX 79761
Phone: 432-550-1000    
Mrs. Cryselda Ann Russell, FNP-C
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 608 N Muskingum Ave, Odessa, TX 79761
Phone: 432-580-9168    Fax: 432-580-8221
Abidemi Yemisi Adeniran, FNP
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 500 W 4th St, Odessa, TX 79761
Phone: 432-640-2401    Fax: 432-640-4778
Morris Al Smith, NP-C
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 10 Shiloh Rd, Odessa, TX 79762
Phone: 432-552-7913    

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).

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