Kourtney Fallon, ARNP in Tampa, FL - Medicare Nurse Practitioner

Kourtney Fallon, ARNP is a medicare enrolled "Nurse Practitioner - Pediatrics" in Tampa, Florida. Her current practice location is 17 Davis Blvd, 100, Tampa, Florida. You can reach out to her office (for appointments etc.) via phone at (813) 259-8700.

Kourtney Fallon is licensed to practice in Florida (license number ARNP9296288) 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 1922470707.

Contact Information

	Kourtney Fallon, ARNP
	17 Davis Blvd, 100, Tampa, FL 33606-3475
	(813) 259-8700
	Not Available

Map and Direction

Provider's Profile

Full Name	Kourtney Fallon
Gender	Female
Speciality	Nurse Practitioner - Pediatrics
Location	17 Davis Blvd, Tampa, Florida
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1922470707
Provider Enumeration Date: 10/20/2015
Last Update Date: 10/27/2020

Medicare PECOS Information:

PECOS PAC ID: 3971803388
Enrollment ID: I20151207002191

Medical Identifiers

Medical identifiers for Kourtney Fallon such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1922470707	NPI	-	NPPES
AATWE	Other	FL	BLUE CROSS BLUE SHIELD
015999900	Medicaid	FL

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LP2300X	Nurse Practitioner - Primary Care	ARNP9296288 (Florida)	Secondary
363LP0200X	Nurse Practitioner - Pediatrics	ARNP9296288 (Florida)	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. Kourtney Fallon allows following entities to bill medicare on her behalf.

Entity Name	University Medical Service Association Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1992742324 PECOS PAC ID: 6800790221 Enrollment ID: O20031126000130

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. Kourtney Fallon 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
Kourtney Fallon, ARNP Po Box 917770, Orlando, FL 32891-0001 Ph: (813) 974-2201	Kourtney Fallon, ARNP 17 Davis Blvd, 100, Tampa, FL 33606-3475 Ph: (813) 259-8700

Reviews and Comments

Nurse Practitioner Nurses in Tampa, FL

Charmaine Henry, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 15511 N Florida Ave Ste 401, Tampa, FL 33613 Phone: 813-963-3124 Fax: 813-908-7808
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Dr. Leigh Nicole Montejo, DNP, FNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 9527 Delaney Creek Blvd, Tampa, FL 33619 Phone: 813-615-5230
Mrs. Dawn Elizabeth White, NP-C Nurse Practitioner Medicare: May Accept Medicare Assignments Practice Location: 2901 W Saint Isabel St, Suite A3, Tampa, FL 33607 Phone: 813-872-4401
Crystal Elaine Blair, ARNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 13000 Bruce B Downs Blvd, Tampa, FL 33612 Phone: 813-972-2000
Courtney Pariso, ARNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3010 E 138th Ave, Suite 12, Tampa, FL 33613 Phone: 813-975-2800 Fax: 813-977-7631

Kourtney Fallon, ARNP - Medicare Nurse Practitioner in Tampa, FL