Manhouly Phouthachack, - Medicare Nurse Practitioner in Bristol, CT

Manhouly Phouthachack, is a medicare enrolled "Nurse Practitioner - Family" in Bristol, Connecticut. She graduated from nursing school in 2007 and has 17 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Mc Diagnostic Of Connecticut, P.c. and her current practice location is 839 Farmington Ave, Bristol, Connecticut. You can reach out to her office (for appointments etc.) via phone at (866) 389-2727.

Manhouly Phouthachack is licensed to practice in Connecticut (license number 004098) 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 1295965481.

Contact Information

Manhouly Phouthachack,
839 Farmington Ave,
Bristol, CT 06010-3922
(866) 389-2727
Not Available



Provider's Profile

Full NameManhouly Phouthachack
GenderFemale
SpecialityNurse Practitioner
Experience17 Years
Location839 Farmington Ave, Bristol, Connecticut
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Manhouly Phouthachack graduated from nursing school in 2007
  NPI Data:
  • NPI Number: 1295965481
  • Provider Enumeration Date: 07/22/2009
  • Last Update Date: 07/21/2022
  Medicare PECOS Information:
  • PECOS PAC ID: 7911053095
  • Enrollment ID: I20090915000014

Medical Identifiers

Medical identifiers for Manhouly Phouthachack such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1295965481NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LF0000XNurse Practitioner - Family 004098 (Connecticut)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Mc Diagnostic Of Connecticut, P.c.094138211383

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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. Manhouly Phouthachack allows following entities to bill medicare on her behalf.
Entity NameMc Diagnostic Of Connecticut, P.c.
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1386821932
PECOS PAC ID: 0941382113
Enrollment ID: O20080126000057

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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. Manhouly Phouthachack 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 AddressPractice Location Address
Manhouly Phouthachack,
839 Farmington Ave,
Bristol, CT 06010-3922

Ph: (866) 389-2727
Manhouly Phouthachack,
839 Farmington Ave,
Bristol, CT 06010-3922

Ph: (866) 389-2727

News Archive

FDA accepts Bristol-Myers Squibb's application for Sprycel for treating pediatric leukemia

Bristol-Myers Squibb Company today announced that the U.S. Food and Drug Administration accepted its supplemental Biologics License Application for Sprycel (dasatinib) in combination with chemotherapy for the treatment of pediatric patients with newly diagnosed Philadelphia chromosome-positive acute lymphoblastic leukemia.

Study reveals new insights into the effects of chemotherapy on tumor microenvironment

Research from Queen Mary University of London has revealed novel insights into the effects of chemotherapy on the tumor microenvironment (TME).

Wall Street Journal examines insurer WellPoint's strategy to raise premiums, retain plan members, report indicates

The Wall Street Journal on Wednesday examined how WellPoint CEO Angela Braly "is attempting a delicate balancing act: raising premiums enough to placate investors but not so much as to send customers fleeing elsewhere."

Immune system can use melanoma's own proteins to kill off cancer cells

Though a small group of proteins, the family called Ras controls a large number of cellular functions, including cell growth, differentiation, and survival. And because the protein has a hand in cellular division, mutated Ras, which can be detected in one-third of all tumors, contributes to many human cancers by allowing for the rapid growth of diseased cells.

Read more News

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Nurse Practitioner Nurses in Bristol, CT

Jennifer Lauren Hohman, FNP-BC
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 839 Farmington Ave, Bristol, CT 06010
Phone: 816-786-0582    
Miss Danielle Grillo, NP-C
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 61 Bradley St, Suite 1, Bristol, CT 06010
Phone: 860-314-6898    
Christie Lee Vardhami, APRN
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 420 N Main St, Bristol, CT 06010
Phone: 860-583-5858    
Lynne M Whitney, APRN
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 25 Newell Rd Ste E36, Bristol, CT 06010
Phone: 860-583-9252    Fax: 860-585-9848
Margaret E Weir, APRN
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 102 North St, Bristol, CT 06010
Phone: 860-314-2082    Fax: 860-314-8133
Julie Sacharko, APRN
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 41 Brewster Rd, Bristol, CT 06010
Phone: 860-585-3313    Fax: 860-585-3500
Holly Fitzgerald, DNP, APRN
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 625 Clark Ave, Bristol, CT 06010
Phone: 860-583-7700    

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