Ms Leticia Khosama, ANP in Dallas, TX - Medicare Nurse Practitioner

Ms Leticia Khosama, ANP is a medicare enrolled "Nurse Practitioner" in Dallas, Texas. She graduated from nursing school in 2012 and has 12 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice University Of Texas Southwestern Medical Center and her current practice location is 6303 Forest Park Rd, Dallas, Texas. You can reach out to her office (for appointments etc.) via phone at (214) 648-7401.

Ms Leticia Khosama is licensed to practice in Texas (license number AP122206) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1063768737.

Contact Information

	Ms Leticia Khosama, ANP
	6303 Forest Park Rd, Dallas, TX 75235-5450
	(214) 648-7401
	(214) 648-1955

Map and Direction

Provider's Profile

Full Name	Ms Leticia Khosama
Gender	Female
Speciality	Nurse Practitioner
Experience	12 Years
Location	6303 Forest Park Rd, Dallas, Texas
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Ms Leticia Khosama graduated from nursing school in 2012

NPI Data:

NPI Number: 1063768737
Provider Enumeration Date: 07/31/2012
Last Update Date: 06/07/2023

Medicare PECOS Information:

PECOS PAC ID: 4385897586
Enrollment ID: I20130122000519

Medical Identifiers

Medical identifiers for Ms Leticia Khosama such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1063768737	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LA2200X	Nurse Practitioner - Adult Health	725588 (Texas)	Secondary
363L00000X	Nurse Practitioner	AP122206 (Texas)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Ut Southwestern University Hospital - William P. Clements Jr.	Dallas, TX	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
University Of Texas Southwestern Medical Center	0648188250	2588

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. Ms Leticia Khosama allows following entities to bill medicare on her behalf.

Entity Name	University Of Texas Southwestern Medical Center At Dallas
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1972579365 PECOS PAC ID: 0648188250 Enrollment ID: O20031106000792

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. Ms Leticia Khosama 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
Ms Leticia Khosama, ANP 5323 Harry Hines Blvd, Dallas, TX 75390-8852 Ph: () -	Ms Leticia Khosama, ANP 6303 Forest Park Rd, Dallas, TX 75235-5450 Ph: (214) 648-7401

Reviews and Comments

Nurse Practitioner Nurses in Dallas, TX

Mrs. Darleen Dansby, APN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1513 Viceroy Dr, Dallas, TX 75235 Phone: 469-685-7020 Fax: 214-920-7020
Ms. Kimberley Shenee Player, MSN, APRN, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 8604 Greenville Ave Ste 103a, Dallas, TX 75243 Phone: 214-702-5855
Teresa Anna Jones, CPNP-AC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1935 Medical District Dr, Dallas, TX 75235 Phone: 973-801-0173
Christina Hagood, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 6301 Gaston Ave, Suite 100, West Tower, Dallas, TX 75214 Phone: 214-827-3610 Fax: 214-821-4017
Susan C. Chesire, ANP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3600 Gaston Ave, Wadley Tower, Suite 651, Dallas, TX 75246 Phone: 214-820-9115 Fax: 214-820-9135
Mrs. Larah Brown, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3209 W Camp Wisdom Rd, Dallas, TX 75237 Phone: 469-966-9660 Fax: 877-667-6112
Michele Willet Rylander, RN, MSN, CPNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1935 Medical District Dr, Dallas, TX 75235 Phone: 214-456-7000

Ms Leticia Khosama, ANP - Medicare Nurse Practitioner in Dallas, TX