Kenneth Lee Tackett, RN, CNP in Houston, TX - Medicare Nurse Practitioner

Kenneth Lee Tackett, RN, CNP is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" in Houston, Texas. His current practice location is 4300 Dunlavy St Apt 5118, Houston, Texas. You can reach out to his office (for appointments etc.) via phone at (601) 927-7224.

Kenneth Lee Tackett is licensed to practice in Texas (license number 1032032) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1063099554.

Contact Information

	Kenneth Lee Tackett, RN, CNP
	4300 Dunlavy St Apt 5118, Houston, TX 77006-5441
	(601) 927-7224
	Not Available

Map and Direction

Provider's Profile

Full Name	Kenneth Lee Tackett
Gender	Male
Speciality	Nurse Practitioner - Psychiatric/mental Health
Location	4300 Dunlavy St Apt 5118, Houston, Texas
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1063099554
Provider Enumeration Date: 03/29/2021
Last Update Date: 03/29/2021

Medicare PECOS Information:

PECOS PAC ID: 0143604470
Enrollment ID: I20220905000268

Medical Identifiers

Medical identifiers for Kenneth Lee Tackett such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1063099554	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LP0808X	Nurse Practitioner - Psychiatric/mental Health	1032032 (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. Kenneth Lee Tackett allows following entities to bill medicare on his behalf.

Entity Name	Texas Behavioral Health Pllc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1881044337 PECOS PAC ID: 3971890948 Enrollment ID: O20160920001430

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. Kenneth Lee Tackett 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
Kenneth Lee Tackett, RN, CNP 4300 Dunlavy St Apt 5118, Houston, TX 77006-5441 Ph: (601) 927-7224	Kenneth Lee Tackett, RN, CNP 4300 Dunlavy St Apt 5118, Houston, TX 77006-5441 Ph: (601) 927-7224

Reviews and Comments

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Kenneth Lee Tackett, RN, CNP - Medicare Nurse Practitioner in Houston, TX