Somsouk Southichack, RN, PMHNP in Euless, TX - Medicare Nurse Practitioner

Somsouk Southichack, RN, PMHNP is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" in Euless, Texas. Her current practice location is 3200 W Euless Blvd, Euless, Texas. You can reach out to her office (for appointments etc.) via phone at (817) 702-3100.

Somsouk Southichack is licensed to practice in Texas (license number AP132679) 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 1497280598.

Contact Information

	Somsouk Southichack, RN, PMHNP
	3200 W Euless Blvd, Euless, TX 76040-6253
	(817) 702-3100
	(817) 920-6271

Map and Direction

Provider's Profile

Full Name	Somsouk Southichack
Gender	Female
Speciality	Nurse Practitioner - Psychiatric/mental Health
Location	3200 W Euless Blvd, Euless, Texas
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1497280598
Provider Enumeration Date: 04/26/2017
Last Update Date: 11/15/2018

Medicare PECOS Information:

PECOS PAC ID: 5698046217
Enrollment ID: I20170801000291

Medical Identifiers

Medical identifiers for Somsouk Southichack such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1497280598	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LP0808X	Nurse Practitioner - Psychiatric/mental Health	AP132679 (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. Somsouk Southichack allows following entities to bill medicare on her behalf.

Entity Name	Acclaim Physician Group Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1780076562 PECOS PAC ID: 4587963582 Enrollment ID: O20160426000707

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. Somsouk Southichack 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
Somsouk Southichack, RN, PMHNP Po Box 732973, Dallas, TX 75373-2973 Ph: (817) 702-8450	Somsouk Southichack, RN, PMHNP 3200 W Euless Blvd, Euless, TX 76040-6253 Ph: (817) 702-3100

Reviews and Comments

Nurse Practitioner Nurses in Euless, TX

Mereena Naveen, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 303 Park Crest Ave, Euless, TX 76039 Phone: 214-708-1300
Priscilla Campos, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 910 N Main St, Euless, TX 76039 Phone: 817-358-5800
Sadie Ann Ek, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1508 Timber Ridge Dr, Euless, TX 76039 Phone: 817-455-7233
Mrs. Alice W Koinange, PMHNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 350 Westpark Way Ste 223, Euless, TX 76040 Phone: 410-805-5825
Julie S Miles, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 251 Westpark Way Ste 210, Euless, TX 76040 Phone: 682-236-3656 Fax: 855-813-9308
Patricia Evelyn Geymer, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1704 Kynette Dr Apt B, Euless, TX 76040 Phone: 512-767-2310
Charlotte Long, NP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 3200 W Euless Blvd, Euless, TX 76040 Phone: 817-702-1100 Fax: 817-702-6493

Somsouk Southichack, RN, PMHNP - Medicare Nurse Practitioner in Euless, TX