Khyanne Mccutchen, in Baltimore, MD - Medicare Nurse Practitioner

Khyanne Mccutchen, is a medicare enrolled "Nurse Practitioner - Family" in Baltimore, Maryland. Her current practice location is 2300 Garrison Blvd, Baltimore, Maryland. You can reach out to her office (for appointments etc.) via phone at (443) 985-6616.

Khyanne Mccutchen is licensed to practice in Maryland (license number R205120) 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 1376162974.

Contact Information

	Khyanne Mccutchen,
	2300 Garrison Blvd, Baltimore, MD 21216-2335
	(443) 985-6616
	Not Available

Map and Direction

Provider's Profile

Full Name	Khyanne Mccutchen
Gender	Female
Speciality	Nurse Practitioner - Family
Location	2300 Garrison Blvd, Baltimore, Maryland
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1376162974
Provider Enumeration Date: 04/14/2020
Last Update Date: 04/14/2020

Medicare PECOS Information:

PECOS PAC ID: 0042683351
Enrollment ID: I20230308000796

Medical Identifiers

Medical identifiers for Khyanne Mccutchen such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1376162974	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	R205120 (Maryland)	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. Khyanne Mccutchen allows following entities to bill medicare on her behalf.

Entity Name	Choice Pain & Rehabilitation Center Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1568809598 PECOS PAC ID: 1850534645 Enrollment ID: O20130827000063

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. Khyanne Mccutchen 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
Khyanne Mccutchen, 5018 Old Court Rd, Randallstown, MD 21133-4636 Ph: (443) 985-6615	Khyanne Mccutchen, 2300 Garrison Blvd, Baltimore, MD 21216-2335 Ph: (443) 985-6616

Reviews and Comments

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Khyanne Mccutchen, - Medicare Nurse Practitioner in Baltimore, MD