Ms Jennifer Leigh Schutter, MD | |
1301 Pennsylvania Ave, Fort Worth, TX 76104-2122 | |
(972) 249-0200 | |
Not Available |
Full Name | Ms Jennifer Leigh Schutter |
---|---|
Gender | Female |
Speciality | Internal Medicine |
Location | 1301 Pennsylvania Ave, Fort Worth, Texas |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1144214594 | NPI | - | NPPES |
205815103 | Medicaid | MO | |
502470 | Other | FIRST GUARD | |
7474346 | Other | AETNA | |
100426410A | Medicaid | KS | |
100426410B | Medicaid | KS | |
31206011 | Other | BCBS |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | 2002008094 (Missouri) | Secondary |
207R00000X | Internal Medicine | 04-29770 (Kansas) | Secondary |
207R00000X | Internal Medicine | R0950 (Texas) | Primary |
Entity Name | Southwest Medical Associates, Inc. |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1831299122 PECOS PAC ID: 6204882947 Enrollment ID: O20050325000524 |
Entity Name | Lonestar Hospital Medicine Associates Pa |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1518237429 PECOS PAC ID: 6709049703 Enrollment ID: O20120530000620 |
Entity Name | Southern Physician Group Management Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1770162695 PECOS PAC ID: 6103235973 Enrollment ID: O20210506002594 |
Mailing Address | Practice Location Address |
---|---|
Ms Jennifer Leigh Schutter, MD 6451 Brentwood Stair Rd, Suite 100, Fort Worth, TX 76112-3200 Ph: (972) 249-0200 | Ms Jennifer Leigh Schutter, MD 1301 Pennsylvania Ave, Fort Worth, TX 76104-2122 Ph: (972) 249-0200 |
Charles A Carlton, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1622 8th Avenue, Suite 110, Fort Worth, TX 76104 Phone: 817-926-2561 Fax: 817-921-3708 | |
Paul J Garcia, DO Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 5701 Bryant Irvin Rd, Suite 302, Fort Worth, TX 76132 Phone: 817-294-9000 Fax: 817-294-9010 | |
Stevan A Gonzalez, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1250 8th Ave, Suite 515, Fort Worth, TX 76104 Phone: 817-922-4675 Fax: 817-922-4645 | |
Jeremy Aaron Ross, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 800 W Magnolia Ave, Fort Worth, TX 76104 Phone: 817-759-7000 Fax: 817-759-7027 | |
Elie B Choufani, M.D. Internal Medicine Medicare: Medicare Enrolled Practice Location: 601 W Terrell Ave, Fort Worth, TX 76104 Phone: 817-852-8305 | |
Syed Hadi Jafri, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1300 W Terrell Ave Fl 2, Fort Worth, TX 76104 Phone: 817-820-4906 Fax: 817-820-4815 | |
Cheryl K Mcdonald, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1125 College Ave, Fort Worth, TX 76104 Phone: 817-810-9810 Fax: 817-810-9815 |