Kaoue Bernadette Bakanho, | |
1813 Fairbanks Dr, Princeton, TX 75407-2692 | |
(410) 831-7998 | |
Not Available |
Full Name | Kaoue Bernadette Bakanho |
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Gender | Female |
Speciality | Nurse Practitioner - Family |
Location | 1813 Fairbanks Dr, Princeton, Texas |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1437921327 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | 1137370 (Texas) | Primary |
Entity Name | Signify Health Medical Associates Pllc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1750845863 PECOS PAC ID: 2163764424 Enrollment ID: O20190520001486 |
Entity Name | Total Md Physicians Group, Pllc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1982031852 PECOS PAC ID: 7012313521 Enrollment ID: O20210909000354 |
Mailing Address | Practice Location Address |
---|---|
Kaoue Bernadette Bakanho, 6800 Scenic Dr, Rowlett, TX 75088-4552 Ph: (410) 831-7998 | Kaoue Bernadette Bakanho, 1813 Fairbanks Dr, Princeton, TX 75407-2692 Ph: (410) 831-7998 |
Lori Ann Ehrman, APRN, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3800 County Road 444, Princeton, TX 75407 Phone: 214-491-3518 | |
Mrs. Lynn Marie Calvert, NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 311 E Princeton Dr, Princeton, TX 75407 Phone: 866-389-2727 | |
Talisha R Lewis, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 311 E Princeton Dr, Princeton, TX 75407 Phone: 866-389-2727 | |
Ashley Reed-taybore, APRN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 415 Covington Cv, Princeton, TX 75407 Phone: 870-377-2339 | |
Ning Cui, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 311 E Princeton Dr, Princeton, TX 75407 Phone: 866-389-2727 |