Dr Kellie Ruth King, APRN in Fort Worth, TX - Medicare Nurse Practitioner

Dr Kellie Ruth King, APRN is a medicare enrolled "Nurse Practitioner - Family" in Fort Worth, Texas. Her current practice location is 5937 Donnelly Ave, Fort Worth, Texas. You can reach out to her office (for appointments etc.) via phone at (682) 212-9140.

Dr Kellie Ruth King is licensed to practice in Texas (license number 1017997) 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 1316554264.

Contact Information

	Dr Kellie Ruth King, APRN
	5937 Donnelly Ave, Fort Worth, TX 76107-5811
	(682) 212-9140
	Not Available

Map and Direction

Provider's Profile

Full Name	Dr Kellie Ruth King
Gender	Female
Speciality	Nurse Practitioner - Family
Location	5937 Donnelly Ave, 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: 1316554264
Provider Enumeration Date: 09/24/2020
Last Update Date: 03/28/2023

Medicare PECOS Information:

PECOS PAC ID: 7315351418
Enrollment ID: I20210202000076

Medical Identifiers

Medical identifiers for Dr Kellie Ruth King such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1316554264	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	11009343 (Florida)	Secondary
363LF0000X	Nurse Practitioner - Family	1017997 (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. Dr Kellie Ruth King allows following entities to bill medicare on her behalf.

Entity Name	Molina Care Connections Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1407243223 PECOS PAC ID: 5799062881 Enrollment ID: O20170427000126

Entity Name	Texas Health Urgent Care
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1952915365 PECOS PAC ID: 0345654414 Enrollment ID: O20210506000184

Entity Name	Global Wound Care Medical Group
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1235831132 PECOS PAC ID: 9335504539 Enrollment ID: O20230513000021

Entity Name	American Wound Care Partners
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1497456818 PECOS PAC ID: 6305290172 Enrollment ID: O20240326001683

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. Dr Kellie Ruth King 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
Dr Kellie Ruth King, APRN 5605 N Macarthur Blvd Ste 400, Irving, TX 75038-2693 Ph: (469) 400-4784	Dr Kellie Ruth King, APRN 5937 Donnelly Ave, Fort Worth, TX 76107-5811 Ph: (682) 212-9140

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

Dr Kellie Ruth King, APRN - Medicare Nurse Practitioner in Fort Worth, TX