Cheryl D Mitchell, AG-ACNP in Fort Worth, TX - Medicare Nurse Practitioner

Cheryl D Mitchell, AG-ACNP is a medicare enrolled "Nurse Practitioner - Acute Care" in Fort Worth, Texas. Her current practice location is 11803 S. Freeway, Ste. 311, Fort Worth, Texas. You can reach out to her office (for appointments etc.) via phone at (817) 568-8411.

Cheryl D Mitchell is licensed to practice in Texas (license number AP132639) 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 1376081752.

Contact Information

	Cheryl D Mitchell, AG-ACNP
	11803 S. Freeway, Ste. 311, Fort Worth, TX 76115
	(817) 568-8411
	(817) 568-8414

Map and Direction

Provider's Profile

Full Name	Cheryl D Mitchell
Gender	Female
Speciality	Nurse Practitioner - Acute Care
Location	11803 S. Freeway, Fort Worth, Texas
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1376081752
Provider Enumeration Date: 02/06/2017
Last Update Date: 03/28/2019

Medicare PECOS Information:

PECOS PAC ID: 8123305638
Enrollment ID: I20170511000650

Medical Identifiers

Medical identifiers for Cheryl D Mitchell such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1376081752	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LA2100X	Nurse Practitioner - Acute Care	AP132639 (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. Cheryl D Mitchell allows following entities to bill medicare on her behalf.

Entity Name	Fort Worth Lung Clinic, Pa
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1558655274 PECOS PAC ID: 6204007123 Enrollment ID: O20110923000606

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. Cheryl D Mitchell 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
Cheryl D Mitchell, AG-ACNP Po Box 16284, Fort Worth, TX 76162-0284 Ph: (817) 568-8411	Cheryl D Mitchell, AG-ACNP 11803 S. Freeway, Ste. 311, Fort Worth, TX 76115 Ph: (817) 568-8411

Reviews and Comments

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Cheryl D Mitchell, AG-ACNP - Medicare Nurse Practitioner in Fort Worth, TX