Clara Formusoh, NP in Fort Worth, TX - Medicare Nurse Practitioner

Clara Formusoh, NP is a medicare enrolled "Nurse Practitioner - Family" in Fort Worth, Texas. She graduated from nursing school in 2014 and has 10 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Texas Health Physicians Group and her current practice location is 1300 W Terrell Ave Ste K230, Fort Worth, Texas. You can reach out to her office (for appointments etc.) via phone at (817) 250-4906.

Clara Formusoh is licensed to practice in Texas (license number AP127181) 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 1023406576.

Contact Information

	Clara Formusoh, NP
	1300 W Terrell Ave Ste K230, Fort Worth, TX 76104-2820
	(817) 250-4906
	(817) 250-1815

Map and Direction

Provider's Profile

Full Name	Clara Formusoh
Gender	Female
Speciality	Nurse Practitioner
Experience	10 Years
Location	1300 W Terrell Ave Ste K230, Fort Worth, Texas
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Clara Formusoh graduated from nursing school in 2014

NPI Data:

NPI Number: 1023406576
Provider Enumeration Date: 01/07/2015
Last Update Date: 02/17/2016

Medicare PECOS Information:

PECOS PAC ID: 0840516563
Enrollment ID: I20150224000431

Medical Identifiers

Medical identifiers for Clara Formusoh such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1023406576	NPI	-	NPPES
343075301	Medicaid	TX

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	AP127181 (Texas)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Texas Health Harris Methodist Hospital Fort Worth	Fort worth, TX	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Texas Health Physicians Group	4385535954	1203

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. Clara Formusoh allows following entities to bill medicare on her behalf.

Entity Name	Texas Health Physicians Group
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1174573596 PECOS PAC ID: 4385535954 Enrollment ID: O20040323000759

Entity Name	Holistic Health And Psychiatry
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1649870783 PECOS PAC ID: 5890105829 Enrollment ID: O20201103002327

Entity Name	Texas Health Virtual Care
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1942951199 PECOS PAC ID: 5991176356 Enrollment ID: O20230121000123

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. Clara Formusoh 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
Clara Formusoh, NP 1300 W Terrell Ave Ste K230, Fort Worth, TX 76104-2820 Ph: (817) 250-4906	Clara Formusoh, NP 1300 W Terrell Ave Ste K230, Fort Worth, TX 76104-2820 Ph: (817) 250-4906

Reviews and Comments

Nurse Practitioner Nurses in Fort Worth, TX

Mrs. Amy Michelle Medalie, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 4405 River Oaks Blvd, Fort Worth, TX 76114 Phone: 817-624-1770 Fax: 817-625-1287
Valerie Elise Ward, RN, CPNP-PC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2755 Miller Ave, Fort Worth, TX 76105 Phone: 817-534-7110 Fax: 817-413-0521
Maria Sybil Gagliano, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 6000 Bryant Irvin Rd, Fort Worth, TX 76132 Phone: 866-389-2727
Kristi E Tucker, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 801 7th Ave, Fort Worth, TX 76104 Phone: 682-885-1475 Fax: 682-885-7520
Lacy Pitchford, CPNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1263 W Rosedale St Ste 200, Fort Worth, TX 76104 Phone: 817-336-4896 Fax: 817-332-2805
Mary Agnes Johnson, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1400 8th Ave, Fort Worth, TX 76104 Phone: 817-922-7070
Susan Akberzie, CPNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1401 W Pulaski St, Fort Worth, TX 76104 Phone: 682-885-8012 Fax: 682-885-8014

Clara Formusoh, NP - Medicare Nurse Practitioner in Fort Worth, TX