Katherine Wied Kyrouac, APRN is a medicare enrolled "Nurse Practitioner - Primary Care" in Comfort, Texas. Her current practice location is
413 Us Highway 87, Comfort, Texas. You can reach out to her office (for appointments etc.) via phone at
(318) 366-3863.
Katherine Wied Kyrouac is licensed to practice in Texas (license number 1089381) 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 1275261521.
Provider's Profile
Full Name | Katherine Wied Kyrouac |
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Gender | Female |
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Speciality | Nurse Practitioner - Primary Care |
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Location | 413 Us Highway 87, Comfort, 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: 1275261521
- Provider Enumeration Date: 08/12/2022
- Last Update Date: 12/27/2023
Medicare PECOS Information:
- PECOS PAC ID: 0648646208
- Enrollment ID: I20221021002660
Medical Identifiers
Medical identifiers for Katherine Wied Kyrouac such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1275261521 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
363L00000X | Nurse Practitioner | 1089381 (Texas) | Secondary |
363LP2300X | Nurse Practitioner - Primary Care | 1089381 (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. Katherine Wied Kyrouac allows following entities to bill medicare on her behalf.
Entity Name | Emergency Medicine Services Of Tx Pc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1245938729 PECOS PAC ID: 3375909351 Enrollment ID: O20230517001124 |
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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. Katherine Wied Kyrouac 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 |
Katherine Wied Kyrouac, APRN 413 Us Highway 87, Comfort, TX 78013-3845 Ph: (318) 366-3863 | Katherine Wied Kyrouac, APRN 413 Us Highway 87, Comfort, TX 78013-3845 Ph: (318) 366-3863 |
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