Look up the most recent NPI and PECOS records

Punam Bhakta

Nurse Practitioner

Physician Assistants & Advanced Practice Nursing Providers

PECOS Enrollment

Based on the most recent information from CMS, provider Punam Bhakta is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.

Part B
Medicare Part B
Enrolled
HHA
Home Health Agency
Enrolled
DME
Durable Medical Equipment
Enrolled
PMD
Power Mobility Device
Enrolled

CMS last updated its PECOS records 6 days ago.

Profile Details

Provider ID
1235667163
Provider Type
Individual
Full Name
Bhakta, Punam
Credential
FNP-C

Gender
Female
Sole Proprietor
Yes
Enumeration Date
5/23/2017
Last Updated
6/15/2018

Contact Information

Practice Location

711 W 38th St Ste D4, Austin, TX 78705

(512) 244-4272

(512) 244-2895

Mailing Location

3201 Esperanza Xing Apt 208, Austin, TX 78758-7862

(325) 956-9663

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 363LF0000X Primary	Description Nurse Practitioner Physician Assistants & Advanced Practice Nursing Providers	License AP133077 Texas

Punam Bhakta

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Hall, Kimberly Erin Garrett

Hauser, Gina

Schiller, Jessica Layne

Guillory, Leslie Sledge

Burgett, Erica

Harris, Janeka Marquetta

Cox, Rebecca

Mumm, Hawna

Garza, Jamie Aileen

Cannizzaro, Jennifer