Kathryn Deshotels, NP is a medicare enrolled "Nurse Practitioner - Family" in Splendora, Texas. Her current practice location is
14006 Old Highway 59 N, Splendora, Texas. You can reach out to her office (for appointments etc.) via phone at
(281) 689-2605.
Kathryn Deshotels is licensed to practice in Texas (license number 649195) 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 1275618274.
Provider's Profile
| Full Name | Kathryn Deshotels |
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| Gender | Female |
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| Speciality | Nurse Practitioner - Family |
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| Location | 14006 Old Highway 59 N, Splendora, Texas |
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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: 1275618274
- Provider Enumeration Date: 10/26/2006
- Last Update Date: 06/01/2009
Medicare PECOS Information:
- PECOS PAC ID: 2860586625
- Enrollment ID: I20070924000716
Medical Identifiers
Medical identifiers for Kathryn Deshotels such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1275618274 | NPI | - | NPPES |
| 11955914 | Other | TX | TX DRIVERS LICENSE |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 363LF0000X | Nurse Practitioner - Family | 649195 (Texas) | 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. Kathryn Deshotels allows following entities to bill medicare on her behalf.
| Entity Name | Providence Physician Associates |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1760919880
PECOS PAC ID: 8022354638
Enrollment ID: O20190117002679 |
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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. Kathryn Deshotels 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 |
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Kathryn Deshotels, NP
Po Box 62230,
Houston, TX 77205-2230
Ph: (281) 364-8373 | Kathryn Deshotels, NP
14006 Old Highway 59 N,
Splendora, TX 77372-6302
Ph: (281) 689-2605 |
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