Oak Street Health Of Texas, Pllc - Medicare Mental Health Clinic in Fort Worth, TX

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Oak Street Health Of Texas, Pllc is a medicare enrolled mental health clinic (Clinic/center - Primary Care) in Fort Worth, Texas. The current practice location for Oak Street Health Of Texas, Pllc is 4115 E Lancaster Ave, Fort Worth, Texas. For appointments, you can reach them via phone at (312) 733-9730. The mailing address for Oak Street Health Of Texas, Pllc is Po Box 746079, Atlanta, Georgia and phone number is (312) 733-9730.

Oak Street Health Of Texas, Pllc is licensed to practice in * (Not Available) (license number ). The clinic also participates in the medicare program and its NPI number is 1497387419. This medical practice accepts medicare insurance (which means this clinic accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance). However, please confirm if they accept your insurance at (312) 733-9730.

Contact Information

Oak Street Health Of Texas, Pllc
4115 E Lancaster Ave
Fort Worth
TX 76103-3614
(312) 733-9730
Not Available

Map and Direction


Mental Health Clinic Profile

Full NameOak Street Health Of Texas, Pllc
SpecialityClinic/Center
Location4115 E Lancaster Ave, Fort Worth, Texas
Authorized Official Name and PositionGriffin Myers (CMO)
Authorized Official Contact3072642085
Accepts Medicare InsuranceYes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Oak Street Health Of Texas, Pllc
Po Box 746079
Atlanta
GA 30374-6079

Ph: (312) 733-9730		Oak Street Health Of Texas, Pllc
4115 E Lancaster Ave
Fort Worth
TX 76103-3614

Ph: (312) 733-9730

NPI Details:

NPI Number1497387419
Provider Enumeration Date02/07/2020
Last Update Date11/15/2023
Certification Date11/15/2023

Medicare PECOS Information:

Medicare PECOS PAC ID2163843038
Medicare Enrollment IDO20200601001767

Medical Identifiers

Medical identifiers for Oak Street Health Of Texas, Pllc such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1497387419NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
1041C0700XSocial Worker - Clinical (* (Not Available))Secondary
207Q00000XFamily Medicine (* (Not Available))Secondary
207R00000XInternal Medicine (* (Not Available))Secondary
261QP2300XClinic/center - Primary Care (* (Not Available))Primary
332B00000XDurable Medical Equipment & Medical Supplies (* (Not Available))Secondary
363L00000XNurse Practitioner (* (Not Available))Secondary
363LF0000XNurse Practitioner - Family (* (Not Available))Secondary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Oak Street Health Of Texas, Pllc acts as a billing entity for following providers:
Provider NameLaura J Welch
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1902872716
PECOS PAC ID: 9234125634
Enrollment ID: I20040421001687
Provider NameRoy Alan Setzenfand
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1659305696
PECOS PAC ID: 1557356011
Enrollment ID: I20040714000530
Provider NameCourtney M Cooner
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1174711220
PECOS PAC ID: 7810956174
Enrollment ID: I20041004000785
Provider NameBillie K Huff
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1174512156
PECOS PAC ID: 5496783540
Enrollment ID: I20050729000633
Provider NameMarilyn Horton
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1104851906
PECOS PAC ID: 8527085745
Enrollment ID: I20051027000587
Provider NameJuanita Dauya
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1326065293
PECOS PAC ID: 4385743962
Enrollment ID: I20070621000720
Provider NameRani P Varghese
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1689867657
PECOS PAC ID: 7719057579
Enrollment ID: I20080605000158
Provider NameChristopher E Berry
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1275503641
PECOS PAC ID: 4789684572
Enrollment ID: I20081010000349
Provider NameKimberly N Jenkins
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1518297720
PECOS PAC ID: 6305980574
Enrollment ID: I20100225000795
Provider NameKathryn M Simon
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1316962038
PECOS PAC ID: 7113944331
Enrollment ID: I20100226000853
Provider NameLisa F Chin
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1043519747
PECOS PAC ID: 3779618582
Enrollment ID: I20110628000902
Provider NameShonna L Harris
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1912217167
PECOS PAC ID: 9032380837
Enrollment ID: I20110928000370
Provider NameArun T Jacob
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1053688457
PECOS PAC ID: 7214170885
Enrollment ID: I20130829000395
Provider NameJames Hodges
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1659620029
PECOS PAC ID: 5395965636
Enrollment ID: I20141008001321
Provider NameDestiny Smith
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1063857654
PECOS PAC ID: 3173745734
Enrollment ID: I20141114000930
Provider NameSanta Espinoza
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1447644778
PECOS PAC ID: 4981923265
Enrollment ID: I20150508000201
Provider NameJillianne A Cheong
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1417334954
PECOS PAC ID: 5890006514
Enrollment ID: I20150623000604
Provider NameDonna K Austin
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1871581082
PECOS PAC ID: 6002867439
Enrollment ID: I20151228000021
Provider NameEvelyn O Oshoro Akingbade
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1841677671
PECOS PAC ID: 4082919352
Enrollment ID: I20160224001322
Provider NameMona Eltiar
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1518414341
PECOS PAC ID: 9335420405
Enrollment ID: I20170103001745
Provider NameDaniel Garcia
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1578910220
PECOS PAC ID: 5991087264
Enrollment ID: I20170120001836
Provider NameLavea A Landrum
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1457703779
PECOS PAC ID: 2466738919
Enrollment ID: I20170417001575
Provider NameAracely Vasquez
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1720407349
PECOS PAC ID: 3072880897
Enrollment ID: I20170530000742
Provider NameSarah E. Laibstain
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1598994337
PECOS PAC ID: 9830355494
Enrollment ID: I20170808001628
Provider NameCorey W Henry
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1356403075
PECOS PAC ID: 0648530063
Enrollment ID: I20180205000020
Provider NameLashica Y Scaife
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1407162407
PECOS PAC ID: 4082883012
Enrollment ID: I20180305001520
Provider NameStacey D Jackson
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1134645674
PECOS PAC ID: 4183986920
Enrollment ID: I20180315000474
Provider NameVoke Eshareturi
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1598150328
PECOS PAC ID: 7911258967
Enrollment ID: I20181001003087
Provider NameAmanda Elise Mohammed
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1891172839
PECOS PAC ID: 6305180829
Enrollment ID: I20181210002101
Provider NameZenobia L Newman
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1730479668
PECOS PAC ID: 2264603349
Enrollment ID: I20190109001635
Provider NameMonique Kezia Thomas
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1912406323
PECOS PAC ID: 1456684307
Enrollment ID: I20190607000276
Provider NameJennifer Duyen Trinh
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1770943177
PECOS PAC ID: 2365776622
Enrollment ID: I20190620002691
Provider NameLaura Moore
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1134786114
PECOS PAC ID: 1052647617
Enrollment ID: I20190719002467
Provider NameAndrei G Scherer
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1841640414
PECOS PAC ID: 5092008680
Enrollment ID: I20190829000385
Provider NameKatherina Avila
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1962898445
PECOS PAC ID: 9830402593
Enrollment ID: I20191206000842
Provider NameDaljit Kaur Bagha
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1225188162
PECOS PAC ID: 0042314023
Enrollment ID: I20200129000904
Provider NameShonna Harris
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1477186823
PECOS PAC ID: 8729416508
Enrollment ID: I20200309002109
Provider NameKirstin Ruiz
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1386203842
PECOS PAC ID: 0446680953
Enrollment ID: I20200424001305
Provider NameAnna Poulos
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1689121121
PECOS PAC ID: 9436438876
Enrollment ID: I20200610000993
Provider NameMelissa Cruz
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1205473881
PECOS PAC ID: 2466874680
Enrollment ID: I20200617000396
Provider NameGibson Ann Hernandez
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1811408644
PECOS PAC ID: 0244652469
Enrollment ID: I20200617000538
Provider NameFunmilayo Eniola Bola-raji
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1457978272
PECOS PAC ID: 1052735024
Enrollment ID: I20200723000816
Provider NameNina Fakunle
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1578111340
PECOS PAC ID: 9032538061
Enrollment ID: I20200924001937
Provider NameHelen Grace Tolentino-gomintong
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1194366591
PECOS PAC ID: 5193145126
Enrollment ID: I20201013002925
Provider NameCamille Campbell
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1528450418
PECOS PAC ID: 9335570894
Enrollment ID: I20201124001745
Provider NameJose F Collazo Colon
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1346612157
PECOS PAC ID: 0648573162
Enrollment ID: I20201216000156
Provider NameJustin Hunt
Provider TypePractitioner - Psychiatry
Provider IdentifiersNPI Number: 1326138074
PECOS PAC ID: 6901842228
Enrollment ID: I20210125001312
Provider NameShannon Krop
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1104393347
PECOS PAC ID: 4082956172
Enrollment ID: I20210429001975
Provider NameAshley Chou
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1033409297
PECOS PAC ID: 9234376054
Enrollment ID: I20210719000026
Provider NameTina Marie Davis
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1568962611
PECOS PAC ID: 6204175284
Enrollment ID: I20210803003453
Provider NameFanny Lean Ho
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1649774183
PECOS PAC ID: 8022362276
Enrollment ID: I20210817002629
Provider NameRachel Sabb
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1629321096
PECOS PAC ID: 0547412371
Enrollment ID: I20210818001034
Provider NameMichael Azubuike Uwaelue
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1992352660
PECOS PAC ID: 2668889189
Enrollment ID: I20210830000311
Provider NameMala Subran
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1053722330
PECOS PAC ID: 4981954880
Enrollment ID: I20210831000327
Provider NameFrancisco Espino
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1902449820
PECOS PAC ID: 6406282334
Enrollment ID: I20210922001627
Provider NameEdna M Gonzalez
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1154995793
PECOS PAC ID: 4082012737
Enrollment ID: I20211011000143
Provider NameDongchul Paek
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1013351840
PECOS PAC ID: 7113245226
Enrollment ID: I20211012000935
Provider NameTalitha Bates
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1609450048
PECOS PAC ID: 0446642474
Enrollment ID: I20220124002340
Provider NameHilda Smith
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1669841508
PECOS PAC ID: 0042528192
Enrollment ID: I20220221001924
Provider NameIhuoma Nwogu
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1891054920
PECOS PAC ID: 1557650199
Enrollment ID: I20220224000373
Provider NameTyler Feuerborn
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1366941650
PECOS PAC ID: 9032547369
Enrollment ID: I20220322000443
Provider NameJisook Kim
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1528726221
PECOS PAC ID: 2365838737
Enrollment ID: I20220412001043
Provider NameCarol Ye-shane Lin
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1295484954
PECOS PAC ID: 4688052194
Enrollment ID: I20220610002069
Provider NameDyann Avila Avila
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1619103652
PECOS PAC ID: 5698154656
Enrollment ID: I20220622000219
Provider NameMariangel Champang Zambrano
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1356001143
PECOS PAC ID: 2668851635
Enrollment ID: I20220622000620
Provider NameTracy Walker
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1972899078
PECOS PAC ID: 0941521074
Enrollment ID: I20220804000283
Provider NameAneeqa Shamshad Butt
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1831678226
PECOS PAC ID: 3476936071
Enrollment ID: I20220815001864
Provider NameKelley Marie Thurston
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1477280014
PECOS PAC ID: 3971987306
Enrollment ID: I20220901002994
Provider NameDarrell Tuck
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1073243572
PECOS PAC ID: 3678957701
Enrollment ID: I20220908001755
Provider NameKristen A. Ross
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1164007746
PECOS PAC ID: 2860877180
Enrollment ID: I20220922000227
Provider NameLakimberely Shajuan Wooten
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1538881503
PECOS PAC ID: 6608252119
Enrollment ID: I20221006003438
Provider NameSouheyla Bachiri
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1518420231
PECOS PAC ID: 5092041293
Enrollment ID: I20221029000182
Provider NameJustin Givan
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1689026627
PECOS PAC ID: 6608243415
Enrollment ID: I20221108002517
Provider NameAislinn Rogalla
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1902250400
PECOS PAC ID: 6901137892
Enrollment ID: I20221109000859
Provider NameShital P Chavda
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1306167085
PECOS PAC ID: 3678717675
Enrollment ID: I20230105000015
Provider NameErica M Francis
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1508220757
PECOS PAC ID: 8527358720
Enrollment ID: I20230110000071
Provider NameLatisha Clark
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1700590320
PECOS PAC ID: 9234502923
Enrollment ID: I20230228001026
Provider NameMorgan Miller
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1992156855
PECOS PAC ID: 4284919945
Enrollment ID: I20230315002578
Provider NameQuanza Mooring
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1770281016
PECOS PAC ID: 8224402920
Enrollment ID: I20230321000482
Provider NameYamila Casas Lay
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1306556006
PECOS PAC ID: 1658736681
Enrollment ID: I20230427000141
Provider NameBernita G Chance
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1689784274
PECOS PAC ID: 8921463548
Enrollment ID: I20230503001223
Provider NameMichael David Musgrove
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1720774607
PECOS PAC ID: 1850750522
Enrollment ID: I20230629000756
Provider NameAshley Saneka Smith
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1881166759
PECOS PAC ID: 5597124115
Enrollment ID: I20230719003903
Provider NamePriscilla Kovacs
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1881211001
PECOS PAC ID: 7416318001
Enrollment ID: I20230728002769
Provider NamePetra Mojica
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1457922783
PECOS PAC ID: 9638530082
Enrollment ID: I20230801002450
Provider NameTeresa M Darden
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1609550516
PECOS PAC ID: 2769845619
Enrollment ID: I20230825001183
Provider NameBushra Kanwal
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1740844364
PECOS PAC ID: 0446613210
Enrollment ID: I20230825002422
Provider NameKumari Iyer
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1790982759
PECOS PAC ID: 5496641847
Enrollment ID: I20230907000626
Provider NameAndrea Foster
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1467167775
PECOS PAC ID: 3577927748
Enrollment ID: I20230907001084
Provider NameElizabeth Gonzalez
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1235821208
PECOS PAC ID: 1254795438
Enrollment ID: I20230907001367
Provider NamePrince Philip
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1497108856
PECOS PAC ID: 8224492327
Enrollment ID: I20230907002864
Provider NameDerrial Doyle
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1578253621
PECOS PAC ID: 5799149829
Enrollment ID: I20230907004364
Provider NameCassandra Melanie Leate
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1992776561
PECOS PAC ID: 2961866231
Enrollment ID: I20230919004367
Provider NamePenninah Maina
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1205466109
PECOS PAC ID: 0244669570
Enrollment ID: I20231002000597
Provider NameRochelle Brumfield
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1518415959
PECOS PAC ID: 4486935533
Enrollment ID: I20231004001841
Provider NameSujey Cristina Loera
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1164209086
PECOS PAC ID: 0042665630
Enrollment ID: I20231017003470
Provider NameMelissa O Henry
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1083495626
PECOS PAC ID: 3678929387
Enrollment ID: I20231031002878
Provider NameMeredith Amos
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1356609150
PECOS PAC ID: 7618109596
Enrollment ID: I20231110002262
Provider NamePaul Geiger
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1891754784
PECOS PAC ID: 5395780936
Enrollment ID: I20231114000045
Provider NameJohn Nguyen
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1760198196
PECOS PAC ID: 2365899143
Enrollment ID: I20231116000633
Provider NameSri Haritha Vardhini Nekkanti
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1184183980
PECOS PAC ID: 8921483470
Enrollment ID: I20240103003497
Provider NameDuyen June Magnuson
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1558043570
PECOS PAC ID: 7719330026
Enrollment ID: I20240201003710
Provider NameJames Ronk
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1396450425
PECOS PAC ID: 3779928023
Enrollment ID: I20240227001989
Provider NameFeyisayo Olafiranye
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1154611069
PECOS PAC ID: 1658548417
Enrollment ID: I20240311000419
Provider NameRebecca Murray
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1134557473
PECOS PAC ID: 2365675451
Enrollment ID: I20240314001285
Provider NameMarkelse Jordan
Provider TypePractitioner - Mental Health Counselor
Provider IdentifiersNPI Number: 1578155198
PECOS PAC ID: 5890134670
Enrollment ID: I20240412000622
Provider NameDavetta A Henderson
Provider TypePractitioner - Mental Health Counselor
Provider IdentifiersNPI Number: 1164069829
PECOS PAC ID: 0941649628
Enrollment ID: I20240415000494
Provider NameBlanca Itzel Vela
Provider TypePractitioner - Mental Health Counselor
Provider IdentifiersNPI Number: 1013364611
PECOS PAC ID: 1254770407
Enrollment ID: I20240419002834
Provider NameRebekah Serrato
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1164288932
PECOS PAC ID: 3577903582
Enrollment ID: I20240424002203
Provider NameAminat Folashade Bobcombe
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1285167999
PECOS PAC ID: 3476993700
Enrollment ID: I20240502003283
Provider NameElsa Erika Gomez
Provider TypePractitioner - Mental Health Counselor
Provider IdentifiersNPI Number: 1336570704
PECOS PAC ID: 2961844477
Enrollment ID: I20240530000144
Provider NameRussell Pacquette
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1447568597
PECOS PAC ID: 3274768015
Enrollment ID: I20240607002889
Provider NameQueen-karen Okpara
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1487293395
PECOS PAC ID: 3577981885
Enrollment ID: I20240626002240
Provider NameOlaniyi Oyedele
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1730761529
PECOS PAC ID: 3779021969
Enrollment ID: I20240819004360
Provider NameChristopher Nguyen
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1134681778
PECOS PAC ID: 6709113137
Enrollment ID: I20240910004266
Provider NameMercy Oludolapo Babatope
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1184203317
PECOS PAC ID: 3678013109
Enrollment ID: I20240910004496
Provider NameNelsy Mercedes Quinteros
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1841021599
PECOS PAC ID: 1052851482
Enrollment ID: I20240911003418
Provider NameHuy Nong
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1508485475
PECOS PAC ID: 6709204019
Enrollment ID: I20240911004735
Provider NameArcela Hernandez
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1184378812
PECOS PAC ID: 1557801925
Enrollment ID: I20240911004906
Provider NameLuula Abdulahi Jeylani
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1104699511
PECOS PAC ID: 7416497680
Enrollment ID: I20240913003457
Provider NameLindy Truc Truong
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1417576257
PECOS PAC ID: 1153747027
Enrollment ID: I20241111003207
Provider NameKeesha Copeland
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1255047049
PECOS PAC ID: 1355876798
Enrollment ID: I20241122000863

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Medicare: Medicare Enrolled
Practice Location: 9500 Ray White Rd Ste 200, Fort Worth, TX 76244
Phone: 817-760-0349    
Jakin Behavioral Health Services Llc
Mental Health Clinic
Medicare: Not Enrolled in Medicare
Practice Location: 6714 Old Stone Dr, Fort Worth, TX 76137
Phone: 330-819-1731    
All Church Home For Children
Mental Health Clinic
Medicare: Not Enrolled in Medicare
Practice Location: 3712 Wichita St, Fort Worth, TX 76119
Phone: 817-335-4041    Fax: 217-887-2735

Mental Health Clinic
Medicare: Not Enrolled in Medicare
Practice Location: 3301 Hamilton Ave, Suite 104, Fort Worth, TX 76107
Phone: 817-992-0410    
Royal Psychological Service Pc
Mental Health Clinic
Medicare: Not Enrolled in Medicare
Practice Location: 900 W Leuda St, Fort Worth, TX 76104
Phone: 845-738-8770    
Balance Behavior Therapy Llc
Mental Health Clinic
Medicare: Not Enrolled in Medicare
Practice Location: 9013 Horse Herd Dr, Fort Worth, TX 76123
Phone: 714-366-9444    
Intrinsic Counseling And Treatment Center, Pllc
Mental Health Clinic
Medicare: Not Enrolled in Medicare
Practice Location: 16516 Porterfield Lane, Fort Worth, TX 76247
Phone: 682-231-1132    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.