Manhouly Phouthachack, in Bristol, CT - Medicare Nurse Practitioner

Manhouly Phouthachack, is a medicare enrolled "Nurse Practitioner - Family" in Bristol, Connecticut. She graduated from nursing school in 2007 and has 17 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Mc Diagnostic Of Connecticut, P.c. and her current practice location is 839 Farmington Ave, Bristol, Connecticut. You can reach out to her office (for appointments etc.) via phone at (866) 389-2727.

Manhouly Phouthachack is licensed to practice in Connecticut (license number 004098) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1295965481.

Contact Information

	Manhouly Phouthachack,
	839 Farmington Ave, Bristol, CT 06010-3922
	(866) 389-2727
	Not Available

Map and Direction

Provider's Profile

Full Name	Manhouly Phouthachack
Gender	Female
Speciality	Nurse Practitioner
Experience	17 Years
Location	839 Farmington Ave, Bristol, Connecticut
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Manhouly Phouthachack graduated from nursing school in 2007

NPI Data:

NPI Number: 1295965481
Provider Enumeration Date: 07/22/2009
Last Update Date: 07/21/2022

Medicare PECOS Information:

PECOS PAC ID: 7911053095
Enrollment ID: I20090915000014

Medical Identifiers

Medical identifiers for Manhouly Phouthachack such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1295965481	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	004098 (Connecticut)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Mc Diagnostic Of Connecticut, P.c.	0941382113	69

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. Manhouly Phouthachack allows following entities to bill medicare on her behalf.

Entity Name	Mc Diagnostic Of Connecticut, P.c.
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1386821932 PECOS PAC ID: 0941382113 Enrollment ID: O20080126000057

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. Manhouly Phouthachack 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
Manhouly Phouthachack, 839 Farmington Ave, Bristol, CT 06010-3922 Ph: (866) 389-2727	Manhouly Phouthachack, 839 Farmington Ave, Bristol, CT 06010-3922 Ph: (866) 389-2727

Reviews and Comments

Nurse Practitioner Nurses in Bristol, CT

Jennifer Lauren Hohman, FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 839 Farmington Ave, Bristol, CT 06010 Phone: 816-786-0582
Miss Danielle Grillo, NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 61 Bradley St, Suite 1, Bristol, CT 06010 Phone: 860-314-6898
Christie Lee Vardhami, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 420 N Main St, Bristol, CT 06010 Phone: 860-583-5858
Lynne M Whitney, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 25 Newell Rd Ste E36, Bristol, CT 06010 Phone: 860-583-9252 Fax: 860-585-9848
Angela Paradis, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 420 N Main St, Bristol, CT 06010 Phone: 860-583-5858
Margaret E Weir, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 102 North St, Bristol, CT 06010 Phone: 860-314-2082 Fax: 860-314-8133
Holly Fitzgerald, DNP, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 625 Clark Ave, Bristol, CT 06010 Phone: 860-583-7700

Manhouly Phouthachack, - Medicare Nurse Practitioner in Bristol, CT