Khankham Kaitlyn Senesoury, NP is a medicare enrolled "Nurse Practitioner - Family" in Haltom City, Texas. Her current practice location is
3101 Denton Hwy, Haltom City, Texas. You can reach out to her office (for appointments etc.) via phone at
(817) 831-6500.
Khankham Kaitlyn Senesoury is licensed to practice in Texas (license number AP128938) 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 1225406440.
Provider's Profile
| Full Name | Khankham Kaitlyn Senesoury |
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| Gender | Female |
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| Speciality | Nurse Practitioner - Family |
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| Location | 3101 Denton Hwy, Haltom City, 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: 1225406440
- Provider Enumeration Date: 09/03/2015
- Last Update Date: 09/03/2015
Medicare PECOS Information:
- PECOS PAC ID: 6305121948
- Enrollment ID: I20170323000388
Medical Identifiers
Medical identifiers for Khankham Kaitlyn Senesoury such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1225406440 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 363LF0000X | Nurse Practitioner - Family | AP128938 (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. Khankham Kaitlyn Senesoury allows following entities to bill medicare on her behalf.
| Entity Name | Firstmed Healthcare Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1134818982
PECOS PAC ID: 8921464157
Enrollment ID: O20230515000597 |
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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. Khankham Kaitlyn Senesoury 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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Khankham Kaitlyn Senesoury, NP
1200 W Walnut Hill Ln, Ste. 3950,
Irving, TX 75038-3029
Ph: (972) 514-1672 | Khankham Kaitlyn Senesoury, NP
3101 Denton Hwy,
Haltom City, TX 76117-3706
Ph: (817) 831-6500 |
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