Mrs Komkwuan Pholtavee Paruchabutr, WHNP-BC, FNP-BC, CNM in Fort Belvoir, VA

Mrs Komkwuan Pholtavee Paruchabutr, WHNP-BC, FNP-BC, CNM is a medicare enrolled "Advanced Practice Midwife" in Fort Belvoir, Virginia. Her current practice location is 9600 Dewitt Loop, Fort Belvoir, Virginia. You can reach out to her office (for appointments etc.) via phone at (703) 424-5112.

Mrs Komkwuan Pholtavee Paruchabutr is licensed to practice in * (Not Available) (license number ) 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 1689976367.

Contact Information

	Mrs Komkwuan Pholtavee Paruchabutr, WHNP-BC, FNP-BC, CNM
	9600 Dewitt Loop, Fort Belvoir, VA 22060
	(703) 424-5112
	Not Available

Map and Direction

Provider's Profile

Full Name	Mrs Komkwuan Pholtavee Paruchabutr
Gender	Female
Speciality	Advanced Practice Midwife
Location	9600 Dewitt Loop, Fort Belvoir, Virginia
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1689976367
Provider Enumeration Date: 12/01/2010
Last Update Date: 05/10/2021

Medicare PECOS Information:

PECOS PAC ID: 7214345859
Enrollment ID: I20210420000441

Medical Identifiers

Medical identifiers for Mrs Komkwuan Pholtavee Paruchabutr such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1689976367	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
163WW0101X	Registered Nurse - Women's Health Care, Ambulatory	207275 (North Carolina)	Secondary
367A00000X	Advanced Practice Midwife	(* (Not Available))	Primary

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. Mrs Komkwuan Pholtavee Paruchabutr 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
Mrs Komkwuan Pholtavee Paruchabutr, WHNP-BC, FNP-BC, CNM 103 Patrick St Sw, Vienna, VA 22180-6740 Ph: (703) 424-5112	Mrs Komkwuan Pholtavee Paruchabutr, WHNP-BC, FNP-BC, CNM 9600 Dewitt Loop, Fort Belvoir, VA 22060 Ph: (703) 424-5112

Reviews and Comments

Advanced Practice Midwife Nurses in Fort Belvoir, VA

Jennifer B. Peters, CNM Advanced Practice Midwife Medicare: Not Enrolled in Medicare Practice Location: 9501 Farrell Rd, Fort Belvoir, VA 22060 Phone: 703-805-0599
Franchesca Moreau Desriviere, CNM Advanced Practice Midwife Medicare: Medicare Enrolled Practice Location: 9300 Dewitt Loop, Fort Belvoir, VA 22060 Phone: 571-231-3224
Deborah Adele Kaiser, CNM Advanced Practice Midwife Medicare: Not Enrolled in Medicare Practice Location: 9300 Dewitt Loop, Fort Belvoir, VA 22060 Phone: 571-231-3442
Nurisha Shavon Jack, CNM Advanced Practice Midwife Medicare: Not Enrolled in Medicare Practice Location: 9300 Dewitt Loop, Fort Belvoir, VA 22060 Phone: 571-231-3442
Mrs. Flavia Del Pilar Diaz-hays, CNM Advanced Practice Midwife Medicare: Not Enrolled in Medicare Practice Location: 9501 Farrell Rd, Fort Belvoir, VA 22060 Phone: 703-805-0723 Fax: 703-805-0014
Mrs. Simone Joanne Dugger, RN, CNM Advanced Practice Midwife Medicare: Medicare Enrolled Practice Location: 9300 Dewitt Loop, Fort Belvoir, VA 22060 Phone: 571-232-3442
Shannon Theresa Garay, BSN, RNC, CNM/WHNP Advanced Practice Midwife Medicare: Medicare Enrolled Practice Location: 9300 Dewitt Loop, Fort Belvoir, VA 22060 Phone: 205-873-2405

Mrs Komkwuan Pholtavee Paruchabutr, WHNP-BC, FNP-BC, CNM - Medicare Advanced Practice Midwife in Fort Belvoir, VA