Anna Elise Fenton, NP - Medicare Nurse Practitioner in Tyler, TX

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Anna Elise Fenton, NP is a medicare enrolled "Nurse Practitioner" in Tyler, Texas. She graduated from nursing school in 2021 and has 3 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Etmc Physician Group, Inc. and her current practice location is 6210 S Broadway Ave, Tyler, Texas. You can reach out to her office (for appointments etc.) via phone at (903) 579-2700.

Anna Elise Fenton is licensed to practice in Texas (license number 1055530) 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 1003588963.

Contact Information

Anna Elise Fenton, NP
6210 S Broadway Ave,
Tyler, TX 75703-4413
(903) 579-2700
(903) 579-2799

Map and Direction




Provider's Profile

Full NameAnna Elise Fenton
GenderFemale
SpecialityNurse Practitioner
Experience3 Years
Location6210 S Broadway Ave, Tyler, Texas
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Anna Elise Fenton graduated from nursing school in 2021
  NPI Data:
  • NPI Number: 1003588963
  • Provider Enumeration Date: 09/29/2021
  • Last Update Date: 09/29/2021
  Medicare PECOS Information:
  • PECOS PAC ID: 3072911528
  • Enrollment ID: I20211013002400

Medical Identifiers

Medical identifiers for Anna Elise Fenton such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1003588963NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363L00000XNurse Practitioner 1055530 (Texas)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Ut Health East Texas Tyler Regional HospitalTyler, TXHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Etmc Physician Group, Inc.4486915600278

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. Anna Elise Fenton allows following entities to bill medicare on her behalf.
Entity NameEtmc Physician Group, Inc.
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1609382662
PECOS PAC ID: 4486915600
Enrollment ID: O20180305002106

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. Anna Elise Fenton 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 AddressPractice Location Address
Anna Elise Fenton, NP
6210 S Broadway Ave,
Tyler, TX 75703-4413

Ph: (903) 579-2700		Anna Elise Fenton, NP
6210 S Broadway Ave,
Tyler, TX 75703-4413

Ph: (903) 579-2700

Reviews and Comments


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Abram Ambriz, NP
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Mary Anne Fitzgerald, NP
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Phone: 903-535-0023    Fax: 903-535-0052
Rendall Northcutt, FNP
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Practice Location: 11937 Us Highway 271, Tyler, TX 75708
Phone: 903-877-7200    Fax: 903-877-5080
Kinsey Henry, MSN, APRN, FNP-C
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Practice Location: 1720 S Beckham Ave, Tyler, TX 75701
Phone: 903-630-6211    

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.