Christa Standefer, FNP is a medicare enrolled "Nurse Practitioner - Family" physician in Fort Worth, Texas. Her current practice location is
1500 Cooper St, Fort Worth, Texas. You can reach out to her office (for appointments etc.) via phone at
(682) 885-6299.
Christa Standefer is licensed to practice in Texas (license number 810497) 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 1508416629.
Physician's Profile
| Full Name | Christa Standefer |
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| Gender | Female |
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| Speciality | Nurse Practitioner - Family |
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| Location | 1500 Cooper St, Fort Worth, Texas |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1508416629
- Provider Enumeration Date: 09/19/2019
- Last Update Date: 04/09/2021
Medicare PECOS Information:
- PECOS PAC ID: 5597097212
- Enrollment ID: I20191030001939
Medical Identifiers
Medical identifiers for Christa Standefer such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1508416629 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207Q00000X | Family Medicine | AP142062 (Texas) | Secondary |
| 2080P0214X | Pediatrics - Pediatric Pulmonology | AP142062 (Texas) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | 810497 (Texas) | Primary |
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. Christa Standefer allows following entities to bill medicare on her behalf.
| Entity Name | Cook Childrens Physician Network |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1750369203
PECOS PAC ID: 7719884584
Enrollment ID: O20040128000800 |
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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. Christa Standefer 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 |
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Christa Standefer, FNP
Po Box 733784,
Dallas, TX 75373-3784
Ph: (682) 885-1860 | Christa Standefer, FNP
1500 Cooper St,
Fort Worth, TX 76104-2710
Ph: (682) 885-6299 |
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