Clara Sue Forrester, CPNP | |
4405 River Oaks Blvd, Fort Worth, TX 76114-2326 | |
(817) 624-1770 | |
(817) 625-1287 |
Full Name | Clara Sue Forrester |
---|---|
Gender | Female |
Speciality | Nurse Practitioner - Pediatrics |
Location | 4405 River Oaks Blvd, Fort Worth, Texas |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1649258633 | NPI | - | NPPES |
137345810 | Other | TX | CSHCN GROUP |
062616004 | Medicaid | TX | |
062616005 | Other | TX | CSHCN |
00U87Z | Other | TX | MEDICARE PIN GROUP |
140442852 | Other | TX | MEDICAID GROUP |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LP0200X | Nurse Practitioner - Pediatrics | 531980 (Texas) | Primary |
Entity Name | Cook Childrens Physician Network |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1750369203 PECOS PAC ID: 7719884584 Enrollment ID: O20040128000800 |
Mailing Address | Practice Location Address |
---|---|
Clara Sue Forrester, CPNP Po Box 99371, Fort Worth, TX 76199-0371 Ph: (682) 885-1855 | Clara Sue Forrester, CPNP 4405 River Oaks Blvd, Fort Worth, TX 76114-2326 Ph: (817) 624-1770 |
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 |