Kitta Kousa, MD is a medicare enrolled "Internal Medicine" physician in Paintsville, Kentucky. Her current practice location is
538 Main Street, Paintsville, Kentucky. You can reach out to her office (for appointments etc.) via phone at
(606) 226-6667.
Kitta Kousa is licensed to practice in Kentucky (license number 39229) 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 1558304915.
Physician's Profile
| Full Name | Kitta Kousa |
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| Gender | Female |
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| Speciality | Internal Medicine |
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| Location | 538 Main Street, Paintsville, Kentucky |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1558304915
- Provider Enumeration Date: 06/14/2006
- Last Update Date: 01/10/2025
Medicare PECOS Information:
- PECOS PAC ID: 8527083856
- Enrollment ID: I20051006000067
Medical Identifiers
Medical identifiers for Kitta Kousa such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1558304915 | NPI | - | NPPES |
| 64113913 | Medicaid | KY | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 207Q00000X | Family Medicine | 39229 (Kentucky) | Secondary |
| 207R00000X | Internal Medicine | 39229 (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. Kitta Kousa allows following entities to bill medicare on her behalf.
| Entity Name | East Ky Clinic |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1902147713 PECOS PAC ID: 2062658768 Enrollment ID: O20130425000351 |
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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. Kitta Kousa 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 |
Kitta Kousa, MD P.o. Box #336, Paintsville, KY 41240 Ph: (606) 226-6667 | Kitta Kousa, MD 538 Main Street, Paintsville, KY 41240 Ph: (606) 226-6667 |
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