Kourtney Anna Chaires, NP is a medicare enrolled "Nurse Practitioner - Family" in White Sands Missile Range, New Mexico. Her current practice location is
1363 Aberdeen Ave, White Sands Missile Range, New Mexico. You can reach out to her office (for appointments etc.) via phone at
(575) 674-3500.
Kourtney Anna Chaires is licensed to practice in New Mexico (license number CNP-02110) 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 1497009203.
Provider's Profile
| Full Name | Kourtney Anna Chaires |
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| Gender | Female |
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| Speciality | Nurse Practitioner - Family |
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| Location | 1363 Aberdeen Ave, White Sands Missile Range, New Mexico |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1497009203
- Provider Enumeration Date: 10/31/2012
- Last Update Date: 02/12/2025
Medicare PECOS Information:
- PECOS PAC ID: 0941455307
- Enrollment ID: I20130311000019
Medical Identifiers
Medical identifiers for Kourtney Anna Chaires such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1497009203 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 363LF0000X | Nurse Practitioner - Family | CNP-02110 (New Mexico) | 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. Kourtney Anna Chaires allows following entities to bill medicare on her behalf.
| Entity Name | Ben Archer Health Center |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1871528505 PECOS PAC ID: 7517878796 Enrollment ID: O20031120000966 |
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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. Kourtney Anna Chaires 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 |
Kourtney Anna Chaires, NP Po Box 370, Hatch, NM 87937-0370 Ph: (575) 267-3280 | Kourtney Anna Chaires, NP 1363 Aberdeen Ave, White Sands Missile Range, NM 88002 Ph: (575) 674-3500 |
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