Theresa Kouadio, CMN in Fairbanks, AK - Medicare Nurse Practitioner

Theresa Kouadio, CMN is a medicare enrolled "Nurse Practitioner" in Fairbanks, Alaska. Her current practice location is 1717 W Cowles St, Fairbanks, Alaska. You can reach out to her office (for appointments etc.) via phone at (907) 451-6682.

Theresa Kouadio is licensed to practice in Alaska (license number 139327) 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 1720034556.

Contact Information

	Theresa Kouadio, CMN
	1717 W Cowles St, Fairbanks, AK 99701-5926
	(907) 451-6682
	Not Available

Map and Direction

Provider's Profile

Full Name	Theresa Kouadio
Gender	Female
Speciality	Nurse Practitioner
Location	1717 W Cowles St, Fairbanks, Alaska
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1720034556
Provider Enumeration Date: 05/25/2006
Last Update Date: 04/15/2021

Medicare PECOS Information:

PECOS PAC ID: 0941294748
Enrollment ID: I20040817000628

Medical Identifiers

Medical identifiers for Theresa Kouadio such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1720034556	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363L00000X	Nurse Practitioner	139327 (Alaska)	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. Theresa Kouadio allows following entities to bill medicare on her behalf.

Entity Name	Tanana Chiefs Conference
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1821201278 PECOS PAC ID: 9537050109 Enrollment ID: O20050111000954

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. Theresa Kouadio 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
Theresa Kouadio, CMN 1717 W Cowles St, Fairbanks, AK 99701-5926 Ph: (907) 451-6682	Theresa Kouadio, CMN 1717 W Cowles St, Fairbanks, AK 99701-5926 Ph: (907) 451-6682

Reviews and Comments

Nurse Practitioner Nurses in Fairbanks, AK

Ms. Sarah Madsen, RN, PMHNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1025 W Barnette St, Fairbanks, AK 99701 Phone: 907-451-1665 Fax: 907-451-1661
Mrs. Kelly Kay Binkowski, APRN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1626 30th Ave, Fairbanks, AK 99701 Phone: 907-479-7701
Janice L Stables, MSN, ANP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1867 Airport Way, Ste 110b, Fairbanks, AK 99701 Phone: 907-452-6330 Fax: 907-452-6335
Anne Marie Lilley, RN, MSN, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1275 Sadler Way, #101, Fairbanks, AK 99701 Phone: 907-361-6370 Fax: 907-361-6372
Susana Donofry, DNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 565 University Ave Ste 1, Fairbanks, AK 99709 Phone: 215-704-1238
Alyce Lynne Weckwerth, ANP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 3100 S Cushman St, Fairbanks, AK 99701 Phone: 907-452-6251 Fax: 907-451-6251
Mrs. Shannon Kay Rhoton, MSN, FNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1919 Lathrop St, Suite 217, Fairbanks, AK 99701 Phone: 907-456-8191 Fax: 907-456-8192

Theresa Kouadio, CMN - Medicare Nurse Practitioner in Fairbanks, AK