Shawn A Koury, NP-C is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" physician in Pueblo, Colorado. Her current practice location is
1104 N Main St, Pueblo, Colorado. You can reach out to her office (for appointments etc.) via phone at
(719) 251-9023.
Shawn A Koury is licensed to practice in Colorado (license number 0101601-NP) 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 1306263181.
Physician's Profile
| Full Name | Shawn A Koury |
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| Gender | Female |
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| Speciality | Nurse Practitioner - Psychiatric/mental Health |
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| Location | 1104 N Main St, Pueblo, Colorado |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1306263181
- Provider Enumeration Date: 03/18/2014
- Last Update Date: 04/13/2023
Medicare PECOS Information:
- PECOS PAC ID: 2365758109
- Enrollment ID: I20150825003646
Medical Identifiers
Medical identifiers for Shawn A Koury such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1306263181 | NPI | - | NPPES |
| 23634073 | Medicaid | CO | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 208M00000X | Hospitalist | 0991118 (Colorado) | Secondary |
| 363L00000X | Nurse Practitioner | APN.0991118-NP (Colorado) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | APN.0991118-NP (Colorado) | Secondary |
| 363LP0808X | Nurse Practitioner - Psychiatric/mental Health | 0101601-NP (Colorado) | 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. Shawn A Koury allows following entities to bill medicare on her behalf.
| Entity Name | Usacs Of Colorado Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1760415871
PECOS PAC ID: 4981507571
Enrollment ID: O20040130000439 |
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| Entity Name | Emergency Medical Specialists, P.c. |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1194708073
PECOS PAC ID: 2860489242
Enrollment ID: O20040428000221 |
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| Entity Name | Peak Medical Care Pllc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1649756578
PECOS PAC ID: 5395096952
Enrollment ID: O20180920000528 |
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| Entity Name | Unity Care, Pllc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1679278485
PECOS PAC ID: 8022476589
Enrollment ID: O20230615002514 |
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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. Shawn A Koury 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 |
|---|
Shawn A Koury, NP-C
1104 N Main St,
Pueblo, CO 81003-2826
Ph: (719) 251-9023 | Shawn A Koury, NP-C
1104 N Main St,
Pueblo, CO 81003-2826
Ph: (719) 251-9023 |
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