Mrs Kellie Sue Kannowski, MSN, WHNP-BC in Frisco, TX

Mrs Kellie Sue Kannowski, MSN, WHNP-BC is a medicare enrolled "Nurse Practitioner - Women's Health" in Frisco, Texas. Her current practice location is 4085 Ohio Dr Ste 100, Frisco, Texas. You can reach out to her office (for appointments etc.) via phone at (972) 406-9911.

Mrs Kellie Sue Kannowski is licensed to practice in Texas (license number 1131096) 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 1023797313.

Contact Information

	Mrs Kellie Sue Kannowski, MSN, WHNP-BC
	4085 Ohio Dr Ste 100, Frisco, TX 75035-6245
	(972) 406-9911
	Not Available

Map and Direction

Provider's Profile

Full Name	Mrs Kellie Sue Kannowski
Gender	Female
Speciality	Nurse Practitioner - Women's Health
Location	4085 Ohio Dr Ste 100, Frisco, Texas
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1023797313
Provider Enumeration Date: 07/13/2023
Last Update Date: 10/22/2024

Medicare PECOS Information:

PECOS PAC ID: 3072961168
Enrollment ID: I20231130000659

Medical Identifiers

Medical identifiers for Mrs Kellie Sue Kannowski such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1023797313	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
163W00000X	Registered Nurse	705982 (Texas)	Secondary
363LW0102X	Nurse Practitioner - Women's Health	1131096 (Texas)	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 Kellie Sue Kannowski allows following entities to bill medicare on her behalf.

Entity Name	Dallas County Hospital District
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1831198506 PECOS PAC ID: 8325934813 Enrollment ID: O20040315000583

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 Kellie Sue Kannowski 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 Kellie Sue Kannowski, MSN, WHNP-BC Po Box 6665, Mckinney, TX 75071-5117 Ph: (214) 491-7825	Mrs Kellie Sue Kannowski, MSN, WHNP-BC 4085 Ohio Dr Ste 100, Frisco, TX 75035-6245 Ph: (972) 406-9911

Reviews and Comments

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Mrs Kellie Sue Kannowski, MSN, WHNP-BC - Medicare Nurse Practitioner in Frisco, TX