Mrs Courtney Nicole Fazel, NP in Brownsville, KY

Mrs Courtney Nicole Fazel, NP is a medicare enrolled "Nurse Practitioner - Family" in Brownsville, Kentucky. Her current practice location is 104 Mohawk Street, Brownsville, Kentucky. You can reach out to her office (for appointments etc.) via phone at (270) 597-2155.

Mrs Courtney Nicole Fazel is licensed to practice in Kentucky (license number 3012884) 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 1548732092.

Contact Information

	Mrs Courtney Nicole Fazel, NP
	104 Mohawk Street, Brownsville, KY 42210
	(270) 597-2155
	Not Available

Map and Direction

Provider's Profile

Full Name	Mrs Courtney Nicole Fazel
Gender	Female
Speciality	Nurse Practitioner - Family
Location	104 Mohawk Street, Brownsville, Kentucky
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1548732092
Provider Enumeration Date: 12/21/2018
Last Update Date: 12/21/2018

Medicare PECOS Information:

PECOS PAC ID: 6507105657
Enrollment ID: I20190307000174

Medical Identifiers

Medical identifiers for Mrs Courtney Nicole Fazel such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1548732092	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	3012884 (Kentucky)	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. Mrs Courtney Nicole Fazel allows following entities to bill medicare on her behalf.

Entity Name	Glk Enterprises, Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1912912734 PECOS PAC ID: 5092711655 Enrollment ID: O20061005000083

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. Mrs Courtney Nicole Fazel 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
Mrs Courtney Nicole Fazel, NP 1425 Hiley Spencer Rd, Scottsville, KY 42164 Ph: (270) 618-0437	Mrs Courtney Nicole Fazel, NP 104 Mohawk Street, Brownsville, KY 42210 Ph: (270) 597-2155

Reviews and Comments

Nurse Practitioner Nurses in Brownsville, KY

Ms. Stephanie Renee' Alford, ARNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 210 S Main St Ste 101, Brownsville, KY 42210 Phone: 270-975-4050 Fax: 866-809-8145
Sheri Banks Little, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 101 S Main St Ste 101, Brownsville, KY 42210 Phone: 270-975-4050
Whitney Renee Elkins, MSN, APRN, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 210 S Main St Ste 101, Brownsville, KY 42210 Phone: 270-975-4050
Lorie Michelle Wardlow, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1573 Ky Highway 259 N, Brownsville, KY 42210 Phone: 270-597-2168 Fax: 270-597-2168
Tori L Robinson, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1573 Ky Highway 259 N, Brownsville, KY 42210 Phone: 270-796-8000 Fax: 270-796-9328
Mrs. Sherry R Rudnick, ARNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 104 Mohawks St, Brownsville, KY 42210 Phone: 270-597-2155 Fax: 270-597-3811

Mrs Courtney Nicole Fazel, NP - Medicare Nurse Practitioner in Brownsville, KY