Mr Kyle Mancuso, FNP-C in Port Allen, LA - Medicare Nurse Practitioner

Mr Kyle Mancuso, FNP-C is a medicare enrolled "Nurse Practitioner - Family" in Port Allen, Louisiana. His current practice location is 4353 Hwy 1 S, Port Allen, Louisiana. You can reach out to his office (for appointments etc.) via phone at (225) 749-2645.

Mr Kyle Mancuso is licensed to practice in Louisiana (license number 201694) 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 1861175820.

Contact Information

	Mr Kyle Mancuso, FNP-C
	4353 Hwy 1 S, Port Allen, LA 70767-5826
	(225) 749-2645
	(225) 749-2645

Map and Direction

Provider's Profile

Full Name	Mr Kyle Mancuso
Gender	Male
Speciality	Nurse Practitioner - Family
Location	4353 Hwy 1 S, Port Allen, Louisiana
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1861175820
Provider Enumeration Date: 08/08/2023
Last Update Date: 08/10/2023

Medicare PECOS Information:

PECOS PAC ID: 0547605354
Enrollment ID: I20240304000997

Medical Identifiers

Medical identifiers for Mr Kyle Mancuso such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1861175820	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	201694 (Louisiana)	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. Mr Kyle Mancuso allows following entities to bill medicare on his behalf.

Entity Name	Our Lady Of The Lake Physician Group Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1033494943 PECOS PAC ID: 4587849781 Enrollment ID: O20120529000377

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. Mr Kyle Mancuso 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
Mr Kyle Mancuso, FNP-C 4353 Hwy 1 S, Port Allen, LA 70767-5826 Ph: () -	Mr Kyle Mancuso, FNP-C 4353 Hwy 1 S, Port Allen, LA 70767-5826 Ph: (225) 749-2645

Reviews and Comments

Nurse Practitioner Nurses in Port Allen, LA

Tiffany Lea White Jones, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 610 N Jefferson Ave, Port Allen, LA 70767 Phone: 225-267-6626
Turkesa Henderson Dotson, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 6956 Hwy 190 W, Port Allen, LA 70767 Phone: 225-692-9007
Mrs. Eleanor Allen Parrish, APRN,PMHNP-BC,FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 266 6th St, Port Allen, LA 70767 Phone: 225-383-8036 Fax: 225-634-0489
Meredith V Johnson, N.P. Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 751 Court St, Port Allen, LA 70767 Phone: 225-389-1311 Fax: 225-389-1330
Ms. Kimberly Givens, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 4451 La Highway 1 S, Port Allen, LA 70767 Phone: 225-749-2273
Nita Guillot Lindsly, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 4353 Hwy 1 S, Port Allen, LA 70767 Phone: 225-749-2645 Fax: 225-749-8216
Haley B David, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 203 Allendale Dr, Port Allen, LA 70767 Phone: 225-389-1311 Fax: 225-389-1330

Mr Kyle Mancuso, FNP-C - Medicare Nurse Practitioner in Port Allen, LA