| Kaoue Bernadette Bakanho, | |
|
1813 Fairbanks Dr, Princeton, TX 75407-2692 | |
| (410) 831-7998 | |
| Not Available |
| Full Name | Kaoue Bernadette Bakanho |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner - Family |
| Location | 1813 Fairbanks Dr, Princeton, Texas |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1437921327 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 1137370 (Texas) | Primary |
| Entity Name | Signify Health Medical Associates Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1750845863 PECOS PAC ID: 2163764424 Enrollment ID: O20190520001486 |
| Entity Name | Total Md Physicians Group, Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1982031852 PECOS PAC ID: 7012313521 Enrollment ID: O20210909000354 |
| Entity Name | Generational Health Of Texas |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1821894601 PECOS PAC ID: 1951824291 Enrollment ID: O20250327002672 |
| Mailing Address | Practice Location Address |
|---|---|
| Kaoue Bernadette Bakanho, 6800 Scenic Dr, Rowlett, TX 75088-4552 Ph: (410) 831-7998 | Kaoue Bernadette Bakanho, 1813 Fairbanks Dr, Princeton, TX 75407-2692 Ph: (410) 831-7998 |
Lori Ann Ehrman, APRN, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3800 County Road 444, Princeton, TX 75407 Phone: 214-491-3518 | |
Mrs. Lynn Marie Calvert, NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 311 E Princeton Dr, Princeton, TX 75407 Phone: 866-389-2727 | |
Talisha R Lewis, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 311 E Princeton Dr, Princeton, TX 75407 Phone: 866-389-2727 | |
Ashley Reed-taybore, APRN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 415 Covington Cv, Princeton, TX 75407 Phone: 870-377-2339 | |
Justin John Wilson, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 200 Cypress Bend Pkwy Ste B1, Princeton, TX 75407 Phone: 972-897-7140 | |
Heather Kay Herriage, APRN, FNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1301 W Princeton Dr, Princeton, TX 75407 Phone: 580-819-0666 |