Sounantha Sayavongsa Harney, - Medicare Nurse Practitioner in Broomfield, CO

Sounantha Sayavongsa Harney, is a medicare enrolled "Nurse Practitioner - Family" in Broomfield, Colorado. She graduated from nursing school in 2017 and has 7 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice The Little Clinic Of Colorado Llc and her current practice location is 2355 W 136th Ave, Broomfield, Colorado. You can reach out to her office (for appointments etc.) via phone at (303) 658-9827.

Sounantha Sayavongsa Harney is licensed to practice in Colorado (license number 0993323) 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 1326546698.

Contact Information

Sounantha Sayavongsa Harney,
2355 W 136th Ave,
Broomfield, CO 80023-9331
(303) 658-9827
Not Available



Provider's Profile

Full NameSounantha Sayavongsa Harney
GenderFemale
SpecialityNurse Practitioner
Experience7 Years
Location2355 W 136th Ave, Broomfield, Colorado
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:
  • Sounantha Sayavongsa Harney graduated from nursing school in 2017
  NPI Data:
  • NPI Number: 1326546698
  • Provider Enumeration Date: 01/31/2018
  • Last Update Date: 06/30/2021
  Medicare PECOS Information:
  • PECOS PAC ID: 2860897527
  • Enrollment ID: I20210819000474

Medical Identifiers

Medical identifiers for Sounantha Sayavongsa Harney such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1326546698NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LF0000XNurse Practitioner - Family 0993323 (Colorado)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
The Little Clinic Of Colorado Llc559782128074

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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. Sounantha Sayavongsa Harney allows following entities to bill medicare on her behalf.
Entity NameThe Little Clinic Of Colorado Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1538354568
PECOS PAC ID: 5597821280
Enrollment ID: O20090304000640

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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. Sounantha Sayavongsa Harney 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
Sounantha Sayavongsa Harney,
3349 W 37th Ave,
Denver, CO 80211-2717

Ph: (269) 208-1759
Sounantha Sayavongsa Harney,
2355 W 136th Ave,
Broomfield, CO 80023-9331

Ph: (303) 658-9827

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Nurse Practitioner Nurses in Broomfield, CO

Mrs. Melanie Jane Dennis, FNP-BC
Nurse Practitioner
Medicare: May Accept Medicare Assignments
Practice Location: 12537 Rivera St, Broomfield, CO 80020
Phone: 303-548-1924    
Kathryn Mettman, PMHNP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 100 Spader Way Ste 267, Broomfield, CO 80020
Phone: 303-853-3500    
Hollie Brieske, AGPCNP-B.C.
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 5023 W 120th Ave, Suite #312, Broomfield, CO 80020
Phone: 720-644-9355    Fax: 720-523-1654
Audrey Jo Haimes, NP-C
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 2355 W 136th Ave, Broomfield, CO 80023
Phone: 303-658-9827    Fax: 303-658-9828
Lora Shima, FNP-C
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 12167 Sheridan Blvd, Broomfield, CO 80020
Phone: 303-658-9807    
Grace Ann Staehlin, FNP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 2355 W 136th Ave, Broomfield, CO 80023
Phone: 303-658-9827    
Nathan Thomas Bucci, MSN, APRN, FNP-C
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 2355 W 136th Ave, Broomfield, CO 80023
Phone: 303-658-9827    

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