Vicky Deuboue, in Keller, TX - Medicare Nurse Practitioner

Vicky Deuboue, is a medicare enrolled "Nurse Practitioner - Primary Care" in Keller, Texas. Her current practice location is 2088 Bronco Ln, Keller, Texas. You can reach out to her office (for appointments etc.) via phone at (862) 241-0137.

Vicky Deuboue is licensed to practice in Texas (license number AP128344) 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 1881064137.

Contact Information

	Vicky Deuboue,
	2088 Bronco Ln, Keller, TX 76248-3139
	(862) 241-0137
	Not Available

Map and Direction

Provider's Profile

Full Name	Vicky Deuboue
Gender	Female
Speciality	Nurse Practitioner - Primary Care
Location	2088 Bronco Ln, Keller, Texas
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1881064137
Provider Enumeration Date: 09/29/2015
Last Update Date: 12/02/2022

Medicare PECOS Information:

PECOS PAC ID: 2668772799
Enrollment ID: I20180917000776

Medical Identifiers

Medical identifiers for Vicky Deuboue such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1881064137	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LP2300X	Nurse Practitioner - Primary Care	106938 (West Virginia)	Secondary
363LP2300X	Nurse Practitioner - Primary Care	AC002867 (Maryland)	Secondary
363LP2300X	Nurse Practitioner - Primary Care	AP128344 (Texas)	Primary
363LF0000X	Nurse Practitioner - Family	AP128344 (Texas)	Secondary

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. Vicky Deuboue allows following entities to bill medicare on her behalf.

Entity Name	Practitioner Support Services Llp
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1114115706 PECOS PAC ID: 3375596984 Enrollment ID: O20050223000656

Entity Name	Impact Health Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1730694316 PECOS PAC ID: 0941562664 Enrollment ID: O20180316001315

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. Vicky Deuboue 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
Vicky Deuboue, 11023 Plumwood Cir, Hagerstown, MD 21742-4017 Ph: (469) 537-5421	Vicky Deuboue, 2088 Bronco Ln, Keller, TX 76248-3139 Ph: (862) 241-0137

Reviews and Comments

Nurse Practitioner Nurses in Keller, TX

Shannon Alysha Mccaskey, FNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 808 Keller Pkwy, Keller, TX 76248 Phone: 817-431-2573 Fax: 817-379-6881
Jacqueline Wilson, FNP Nurse Practitioner Medicare: May Accept Medicare Assignments Practice Location: 940 Keller Pkwy Ste 250, Keller, TX 76248 Phone: 972-716-3922
Mrs. Elizabeth Ann Kane-torres, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 801 N Tarrant Pkwy, Keller, TX 76248 Phone: 817-428-5558
Tijuanda L Cates, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 940 Keller Pkwy Ste 250, Keller, TX 76248 Phone: 972-716-3922 Fax: 877-647-0202
Kristy Lee Knife Chief, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 801 N Tarrant Pkwy # 3134, Keller, TX 76248 Phone: 817-428-5558
Cassandra Muff, F. N. P. Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 601 S Main St, Suite 200, Keller, TX 76248 Phone: 817-753-6888 Fax: 817-753-6885
Mrs. Kami Wegner, RN, CPNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 230 N Rufe Snow Dr, Keller, TX 76248 Phone: 817-337-5503 Fax: 817-337-0110

Vicky Deuboue, - Medicare Nurse Practitioner in Keller, TX