Kathleen C Baccus, FNP in Lubbock, TX - Medicare Nurse Practitioner

Kathleen C Baccus, FNP is a medicare enrolled "Nurse Practitioner - Family" in Lubbock, Texas. Her current practice location is 4408 6th St, Lubbock, Texas. You can reach out to her office (for appointments etc.) via phone at (806) 791-0399.

Kathleen C Baccus is licensed to practice in Texas (license number 1005508) 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 1033727219.

Contact Information

	Kathleen C Baccus, FNP
	4408 6th St, Lubbock, TX 79416-4732
	(806) 791-0399
	(806) 791-0373

Map and Direction

Provider's Profile

Full Name	Kathleen C Baccus
Gender	Female
Speciality	Nurse Practitioner - Family
Location	4408 6th St, Lubbock, Texas
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1033727219
Provider Enumeration Date: 07/14/2020
Last Update Date: 09/01/2020

Medicare PECOS Information:

PECOS PAC ID: 4183040959
Enrollment ID: I20200812000090

Medical Identifiers

Medical identifiers for Kathleen C Baccus such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1033727219	NPI	-	NPPES
1F5915	Other	TX	MEDICARE

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	1005508 (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. Kathleen C Baccus allows following entities to bill medicare on her behalf.

Entity Name	Roger J. Wolcott, M.d., P.a.
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1356521892 PECOS PAC ID: 9335190420 Enrollment ID: O20050207000286

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. Kathleen C Baccus 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
Kathleen C Baccus, FNP 2215 Nashville Ave, Lubbock, TX 79410-1105 Ph: (806) 725-5844	Kathleen C Baccus, FNP 4408 6th St, Lubbock, TX 79416-4732 Ph: (806) 791-0399

Reviews and Comments

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Kathleen C Baccus, FNP - Medicare Nurse Practitioner in Lubbock, TX