Kayla Mukdaprakorn, in Hartford, CT - Medicare Nurse Practitioner

Kayla Mukdaprakorn, is a medicare enrolled "Nurse Practitioner - Family" in Hartford, Connecticut. Her current practice location is 21 Grand St, Hartford, Connecticut. You can reach out to her office (for appointments etc.) via phone at (860) 550-7500.

Kayla Mukdaprakorn is licensed to practice in Connecticut (license number 10523) 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 1124762901.

Contact Information

	Kayla Mukdaprakorn,
	21 Grand St, Hartford, CT 06106-1541
	(860) 550-7500
	Not Available

Map and Direction

Provider's Profile

Full Name	Kayla Mukdaprakorn
Gender	Female
Speciality	Nurse Practitioner - Family
Location	21 Grand St, Hartford, Connecticut
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1124762901
Provider Enumeration Date: 04/26/2022
Last Update Date: 09/27/2022

Medicare PECOS Information:

PECOS PAC ID: 8527446798
Enrollment ID: I20220531000196

Medical Identifiers

Medical identifiers for Kayla Mukdaprakorn such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1124762901	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	10523 (Connecticut)	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. Kayla Mukdaprakorn allows following entities to bill medicare on her behalf.

Entity Name	Dermatology Associates Of Eastern Ct Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1952481418 PECOS PAC ID: 8628020757 Enrollment ID: O20050216000598

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. Kayla Mukdaprakorn 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
Kayla Mukdaprakorn, 21 Mclean St, Hartford, CT 06114-2626 Ph: (203) 565-4575	Kayla Mukdaprakorn, 21 Grand St, Hartford, CT 06106-1541 Ph: (860) 550-7500

Reviews and Comments

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Kayla Mukdaprakorn, - Medicare Nurse Practitioner in Hartford, CT