Mrs Katherine Phouthavong, NP in Rochester, NY

Mrs Katherine Phouthavong, NP is a medicare enrolled "Nurse Practitioner - Family" in Rochester, New York. Her current practice location is 601 Elwood Ave, Box Surg/txp, Rochester, New York. You can reach out to her office (for appointments etc.) via phone at (585) 275-5875.

Mrs Katherine Phouthavong is licensed to practice in New York (license number 341143) 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 1033669726.

Contact Information

	Mrs Katherine Phouthavong, NP
	601 Elwood Ave, Box Surg/txp, Rochester, NY 14642-0001
	(585) 275-5875
	Not Available

Map and Direction

Provider's Profile

Full Name	Mrs Katherine Phouthavong
Gender	Female
Speciality	Nurse Practitioner - Family
Location	601 Elwood Ave, Rochester, New York
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1033669726
Provider Enumeration Date: 10/06/2016
Last Update Date: 10/06/2016

Medicare PECOS Information:

PECOS PAC ID: 7214219922
Enrollment ID: I20180905003290

Medical Identifiers

Medical identifiers for Mrs Katherine Phouthavong such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1033669726	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	341143 (New York)	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. Mrs Katherine Phouthavong allows following entities to bill medicare on her behalf.

Entity Name	University Of Rochester
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1710226824 PECOS PAC ID: 5799699088 Enrollment ID: O20031201000019

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. Mrs Katherine Phouthavong 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
Mrs Katherine Phouthavong, NP 80 Derrick Dr, West Henrietta, NY 14586-8915 Ph: (585) 576-0290	Mrs Katherine Phouthavong, NP 601 Elwood Ave, Box Surg/txp, Rochester, NY 14642-0001 Ph: (585) 275-5875

Reviews and Comments

Nurse Practitioner Nurses in Rochester, NY

Sarah Anne Rossi, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 601 Elmwood Ave, Box 652, Rochester, NY 14642 Phone: 585-279-5100
Mrs. Anne Scherberger Keefer, RN NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 601 Elmwood Ave, Box 704, Rochester, NY 14642 Phone: 585-275-5307 Fax: 585-275-2914
Sarah Siegfried, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 601 Elmwood Ave, Box 619-334, Rochester, NY 14642 Phone: 585-472-5690
Nancy Lm Wilcox, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1500 Portland Ave, Rochester, NY 14621 Phone: 585-697-6416
Mr. Seth Christopher Jacob-wagner, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 114 University Ave, Rochester, NY 14605 Phone: 585-546-2271
Ashley Lynn Hendershot, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 125 Red Creek Dr, Rochester, NY 14623 Phone: 585-486-0600
Caitlin Patrice Curtin, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 601 Elmwood Ave, Rochester, NY 14642 Phone: 585-275-2100

Mrs Katherine Phouthavong, NP - Medicare Nurse Practitioner in Rochester, NY