Angelique Paulette Zajac, FNP-C is a medicare enrolled "Nurse Practitioner - Family" in Kerens, Texas. Her current practice location is
5527 Fm 636, Kerens, Texas. You can reach out to her office (for appointments etc.) via phone at
(817) 687-9138.
Angelique Paulette Zajac is licensed to practice in Texas (license number 1156084) 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 1871350728.
Provider's Profile
| Full Name | Angelique Paulette Zajac |
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| Gender | Female |
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| Speciality | Nurse Practitioner - Family |
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| Location | 5527 Fm 636, Kerens, 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: 1871350728
- Provider Enumeration Date: 03/06/2024
- Last Update Date: 12/03/2024
Medicare PECOS Information:
- PECOS PAC ID: 7214377431
- Enrollment ID: I20240503002606
Medical Identifiers
Medical identifiers for Angelique Paulette Zajac such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1871350728 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 363LF0000X | Nurse Practitioner - Family | 1156084 (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. Angelique Paulette Zajac allows following entities to bill medicare on her behalf.
| Entity Name | Clinical Bridges Pllc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1982024766
PECOS PAC ID: 3476779711
Enrollment ID: O20140723001279 |
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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. Angelique Paulette Zajac 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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Angelique Paulette Zajac, FNP-C
9816 Bragg Rd,
Fort Worth, TX 76177-7364
Ph: (817) 683-6637 | Angelique Paulette Zajac, FNP-C
5527 Fm 636,
Kerens, TX 75144-4001
Ph: (817) 687-9138 |
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