Ms Jan Carlin Khouri, APRN in Longview, WA - Medicare Nurse Practitioner

Ms Jan Carlin Khouri, APRN is a medicare enrolled "Nurse Practitioner - Family" in Longview, Washington. Her current practice location is 784 14th Ave, Longview, Washington. You can reach out to her office (for appointments etc.) via phone at (360) 703-6400.

Ms Jan Carlin Khouri is licensed to practice in New Jersey (license number 26NJ00096700) 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 1043238033.

Contact Information

	Ms Jan Carlin Khouri, APRN
	784 14th Ave, Longview, WA 98632-2315
	(360) 703-6400
	Not Available

Map and Direction

Provider's Profile

Full Name	Ms Jan Carlin Khouri
Gender	Female
Speciality	Nurse Practitioner - Family
Location	784 14th Ave, Longview, Washington
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1043238033
Provider Enumeration Date: 07/17/2006
Last Update Date: 07/21/2022

Medicare PECOS Information:

PECOS PAC ID: 4183701436
Enrollment ID: I20170504002284

Medical Identifiers

Medical identifiers for Ms Jan Carlin Khouri such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1043238033	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	26NJ00096700 (New Jersey)	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. Ms Jan Carlin Khouri allows following entities to bill medicare on her behalf.

Entity Name	Peacehealth
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1134178999 PECOS PAC ID: 9739092065 Enrollment ID: O20031111000831

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. Ms Jan Carlin Khouri 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
Ms Jan Carlin Khouri, APRN 1057 12th Ave, Longview, WA 98632-2509 Ph: (360) 353-3256	Ms Jan Carlin Khouri, APRN 784 14th Ave, Longview, WA 98632-2315 Ph: (360) 703-6400

Reviews and Comments

Nurse Practitioner Nurses in Longview, WA

Lori Davis Ryan, ARNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1044 11th Ave, Longview, WA 98632 Phone: 360-575-8275 Fax: 360-575-1950
Dr. Steven Robert Spence Jr., DNP, ARNP, FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1615 Delaware St, Longview, WA 98632 Phone: 360-816-5706 Fax: 360-696-5038
Nichol Suzanne Halverson, ARNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 625 9th Ave Ste 210, Longview, WA 98632 Phone: 360-501-3400 Fax: 360-423-6862
Holly Wells, FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1615 Delaware St, Longview, WA 98632 Phone: 360-414-2385 Fax: 360-414-2386
Donna K Lynds, ARNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1615 Delaware St, Longview, WA 98632 Phone: 360-414-2000
Mr. David Jude Paris, PMHNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 921 14th Ave, Longview, WA 98632 Phone: 360-423-0203 Fax: 360-423-5086

Ms Jan Carlin Khouri, APRN - Medicare Nurse Practitioner in Longview, WA