Kendra Brooke Decker, FNP in Pueblo, CO - Medicare Nurse Practitioner

Kendra Brooke Decker, FNP is a medicare enrolled "Nurse Practitioner - Family" in Pueblo, Colorado. Her current practice location is 1080 Chinook Ln, Pueblo, Colorado. You can reach out to her office (for appointments etc.) via phone at (719) 546-9400.

Kendra Brooke Decker is licensed to practice in Colorado (license number 0998633-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 1306532791.

Contact Information

	Kendra Brooke Decker, FNP
	1080 Chinook Ln, Pueblo, CO 81001-1850
	(719) 546-9400
	Not Available

Map and Direction

Provider's Profile

Full Name	Kendra Brooke Decker
Gender	Female
Speciality	Nurse Practitioner - Family
Location	1080 Chinook Ln, Pueblo, Colorado
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1306532791
Provider Enumeration Date: 04/18/2023
Last Update Date: 09/25/2023

Medicare PECOS Information:

PECOS PAC ID: 6305285164
Enrollment ID: I20240412004255

Medical Identifiers

Medical identifiers for Kendra Brooke Decker such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1306532791	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
163W00000X	Registered Nurse	0200873 (Colorado)	Secondary
363LF0000X	Nurse Practitioner - Family	0998633-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. Kendra Brooke Decker allows following entities to bill medicare on her behalf.

Entity Name	Summit Primary Care
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1356962849 PECOS PAC ID: 3577988864 Enrollment ID: O20200804000433

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. Kendra Brooke Decker 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
Kendra Brooke Decker, FNP 1080 Chinook Ln, Pueblo, CO 81001-1850 Ph: (719) 546-9400	Kendra Brooke Decker, FNP 1080 Chinook Ln, Pueblo, CO 81001-1850 Ph: (719) 546-9400

Reviews and Comments

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Lynne M Evetts, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 300 Colorado Ave, Pueblo, CO 81004 Phone: 719-543-8711 Fax: 719-543-5340
Phebe Golden, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3670 Parker Blvd Ste 101, Pueblo, CO 81008 Phone: 719-562-2900

Kendra Brooke Decker, FNP - Medicare Nurse Practitioner in Pueblo, CO