Shawna Jae Rubalcaba, FNP is a medicare enrolled "Nurse Practitioner - Family" physician in Fort Worth, Texas. She graduated from medical school in 2019 and has 5 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Healthtexas Provider Network and her current practice location is
1101 6th Ave Ste 110, Fort Worth, Texas. You can reach out to her office (for appointments etc.) via phone at
(817) 912-8570.
Shawna Jae Rubalcaba is licensed to practice in Texas (license number AP143593) 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 1609418045.
Physician's Profile
| Full Name | Shawna Jae Rubalcaba |
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| Gender | Female |
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| Speciality | Nurse Practitioner |
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| Experience | 5 Years |
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| Location | 1101 6th Ave Ste 110, Fort Worth, Texas |
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| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Shawna Jae Rubalcaba graduated from medical school in 2019
NPI Data:
- NPI Number: 1609418045
- Provider Enumeration Date: 10/16/2019
- Last Update Date: 10/04/2024
Medicare PECOS Information:
- PECOS PAC ID: 3476975251
- Enrollment ID: I20200624001471
Medical Identifiers
Medical identifiers for Shawna Jae Rubalcaba such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1609418045 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207Q00000X | Family Medicine | AP143593 (Texas) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | AP143593 (Texas) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Healthtexas Provider Network | 1355254210 | 1844 |
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. Shawna Jae Rubalcaba allows following entities to bill medicare on her behalf.
| Entity Name | Healthtexas Provider Network |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1760488936
PECOS PAC ID: 1355254210
Enrollment ID: O20040727001187 |
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| Entity Name | Acclaim Physician Group Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1780076562
PECOS PAC ID: 4587963582
Enrollment ID: O20160426000707 |
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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. Shawna Jae Rubalcaba 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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Shawna Jae Rubalcaba, FNP
1101 6th Ave Ste 110,
Fort Worth, TX 76104-4929
Ph: (817) 912-8570 | Shawna Jae Rubalcaba, FNP
1101 6th Ave Ste 110,
Fort Worth, TX 76104-4929
Ph: (817) 912-8570 |
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