Emma Marie Easom, FNP in Fort Worth, TX - Medicare Nurse Practitioner

Emma Marie Easom, FNP is a medicare enrolled "Nurse Practitioner - Family" in Fort Worth, Texas. Her current practice location is 1500 Cooper St, Fort Worth, Texas. You can reach out to her office (for appointments etc.) via phone at (682) 303-1300.

Emma Marie Easom is licensed to practice in Texas (license number 1014036) 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 1932877743.

Contact Information

	Emma Marie Easom, FNP
	1500 Cooper St, Fort Worth, TX 76104-2710
	(682) 303-1300
	(682) 303-1299

Map and Direction

Provider's Profile

Full Name	Emma Marie Easom
Gender	Female
Speciality	Nurse Practitioner - Family
Location	1500 Cooper St, 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: 1932877743
Provider Enumeration Date: 09/06/2021
Last Update Date: 09/12/2023

Medicare PECOS Information:

PECOS PAC ID: 8628455979
Enrollment ID: I20220506001889

Medical Identifiers

Medical identifiers for Emma Marie Easom such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1932877743	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	1014036 (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. Emma Marie Easom allows following entities to bill medicare on her behalf.

Entity Name	Cook Childrens Physician Network
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1750369203 PECOS PAC ID: 7719884584 Enrollment ID: O20040128000800

Entity Name	Healthtexas Provider Network
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1760488936 PECOS PAC ID: 1355254210 Enrollment ID: O20040727001187

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. Emma Marie Easom 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
Emma Marie Easom, FNP Po Box 733784, Dallas, TX 75373-3784 Ph: (682) 885-6483	Emma Marie Easom, FNP 1500 Cooper St, Fort Worth, TX 76104-2710 Ph: (682) 303-1300

Reviews and Comments

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Emma Marie Easom, FNP - Medicare Nurse Practitioner in Fort Worth, TX