Kanna Endo, in Allen, TX - Medicare Nurse Practitioner

Kanna Endo, is a medicare enrolled "Nurse Practitioner - Family" in Allen, Texas. Her current practice location is 1420 W Exchange Pkwy # A-120, Allen, Texas. You can reach out to her office (for appointments etc.) via phone at (972) 521-6210.

Kanna Endo is licensed to practice in Texas (license number 1059032) 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 1477210847.

Contact Information

	Kanna Endo,
	1420 W Exchange Pkwy # A-120, Allen, TX 75013-4670
	(972) 521-6210
	Not Available

Map and Direction

Provider's Profile

Full Name	Kanna Endo
Gender	Female
Speciality	Nurse Practitioner - Family
Location	1420 W Exchange Pkwy # A-120, Allen, Texas
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1477210847
Provider Enumeration Date: 11/20/2021
Last Update Date: 09/23/2024

Medicare PECOS Information:

PECOS PAC ID: 8729471552
Enrollment ID: I20220131001222

Medical Identifiers

Medical identifiers for Kanna Endo such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1477210847	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	1059032 (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. Kanna Endo allows following entities to bill medicare on her behalf.

Entity Name	Little Lantern Clinic Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1114409133 PECOS PAC ID: 0446502322 Enrollment ID: O20181003001751

Entity Name	Emergency Surgical Associates Pllc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1811461841 PECOS PAC ID: 0143646364 Enrollment ID: O20200819001083

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. Kanna Endo 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
Kanna Endo, 4161 Midway Rd Apt 301, Carrollton, TX 75007-2067 Ph: () -	Kanna Endo, 1420 W Exchange Pkwy # A-120, Allen, TX 75013-4670 Ph: (972) 521-6210

Reviews and Comments

Nurse Practitioner Nurses in Allen, TX

Susie Kim Ahn, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1105 Central Expy N Ste 2240, Allen, TX 75013 Phone: 866-607-2308
Lindsay A Little, PA-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1101 Raintree Cir Ste 250, Allen, TX 75013 Phone: 972-649-6644 Fax: 469-854-6224
Mireya Liss, CNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 333 E Bethany Dr Ste J130, Allen, TX 75002 Phone: 972-741-0484
Robin Kathleen Klein, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1101 Raintree Cir Ste 130, Allen, TX 75013 Phone: 214-537-0703
Sandra Young, APRN, FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 981 State Highway 121 Ste 1140, Allen, TX 75013 Phone: 469-697-5100 Fax: 469-697-5105
Nicole Gee, MSN, APRN, NNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1105 Central Expy N, Allen, TX 75013 Phone: 214-343-6663 Fax: 214-343-2814
Vivian Tien Tran, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 614 S Watters Rd Ste 101, Allen, TX 75013 Phone: 214-509-3623 Fax: 214-509-3620

Kanna Endo, - Medicare Nurse Practitioner in Allen, TX