Princess Kukua Ahedor, in El Paso, TX - Medicare Nurse Practitioner

Princess Kukua Ahedor, is a medicare enrolled "Nurse Practitioner - Family" in El Paso, Texas. Her current practice location is 1600 Medical Center Dr Ste 400, El Paso, Texas. You can reach out to her office (for appointments etc.) via phone at (915) 217-2163.

Princess Kukua Ahedor is licensed to practice in Texas (license number AP139886) 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 1215401906.

Contact Information

	Princess Kukua Ahedor,
	1600 Medical Center Dr Ste 400, El Paso, TX 79902-5008
	(915) 217-2163
	(915) 217-2166

Map and Direction

Provider's Profile

Full Name	Princess Kukua Ahedor
Gender	Female
Speciality	Nurse Practitioner - Family
Location	1600 Medical Center Dr Ste 400, El Paso, Texas
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1215401906
Provider Enumeration Date: 01/15/2019
Last Update Date: 01/15/2019

Medicare PECOS Information:

PECOS PAC ID: 6103165980
Enrollment ID: I20190222002456

Medical Identifiers

Medical identifiers for Princess Kukua Ahedor such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1215401906	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	AP139886 (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. Princess Kukua Ahedor allows following entities to bill medicare on her behalf.

Entity Name	Pebble Hills Family Clinic Pllc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1851059091 PECOS PAC ID: 6507230398 Enrollment ID: O20230317001018

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. Princess Kukua Ahedor 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
Princess Kukua Ahedor, 4150 Rio Bravo St Ste 201, El Paso, TX 79902-1054 Ph: (915) 532-0010	Princess Kukua Ahedor, 1600 Medical Center Dr Ste 400, El Paso, TX 79902-5008 Ph: (915) 217-2163

Reviews and Comments

Nurse Practitioner Nurses in El Paso, TX

Ms. Luelen D Cunyus, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 8269 N Loop Dr, El Paso, TX 79907 Phone: 915-591-1615 Fax: 915-591-2875
Mirabelle Nofeh, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 13001 Easlake Blvd, Suite 105, El Paso, TX 79928 Phone: 915-248-2345 Fax: 915-271-4412
Miss Bianca Elena Montes, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 12501 Gateway Blvd S, El Paso, TX 79934 Phone: 915-834-4512
Joseph Jeffrey Miller, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 4801 Alberta Ave, El Paso, TX 79905 Phone: 915-215-5400 Fax: 915-215-8632
Andres Baeza, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1551 Montana Ave, El Paso, TX 79902 Phone: 915-887-3410
Bryan Botello, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 4305 N Mesa St, El Paso, TX 79902 Phone: 915-532-2477 Fax: 915-242-6461
Imelda V Wallace, FNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 11860 Vista Del Sol Dr Ste 150, El Paso, TX 79936 Phone: 915-808-4000

Princess Kukua Ahedor, - Medicare Nurse Practitioner in El Paso, TX