Holly Karen Mullins, in Fort Worth, TX - Medicare Nurse Practitioner

Holly Karen Mullins, is a medicare enrolled "Nurse Practitioner - Family" in Fort Worth, Texas. Her current practice location is 5450 Clearfork Main St Ste 300, Fort Worth, Texas. You can reach out to her office (for appointments etc.) via phone at (817) 334-1400.

Holly Karen Mullins is licensed to practice in Texas (license number 1017778) 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 1457940827.

Contact Information

	Holly Karen Mullins,
	5450 Clearfork Main St Ste 300, Fort Worth, TX 76109-3514
	(817) 334-1400
	(817) 334-1410

Map and Direction

Provider's Profile

Full Name	Holly Karen Mullins
Gender	Female
Speciality	Nurse Practitioner - Family
Location	5450 Clearfork Main St Ste 300, 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: 1457940827
Provider Enumeration Date: 01/11/2021
Last Update Date: 01/20/2023

Medicare PECOS Information:

PECOS PAC ID: 7315349776
Enrollment ID: I20210708001394

Medical Identifiers

Medical identifiers for Holly Karen Mullins such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1457940827	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	1017778 (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. Holly Karen Mullins allows following entities to bill medicare on her behalf.

Entity Name	Medical Clinic Of North Texas, Pllc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1033167234 PECOS PAC ID: 9830084540 Enrollment ID: O20040430001258

Entity Name	Shaun Kretzschmar Do Pa
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1912379322 PECOS PAC ID: 6800192212 Enrollment ID: O20160311000109

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. Holly Karen Mullins 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
Holly Karen Mullins, 5450 Clearfork Main St Ste 300, Fort Worth, TX 76109-3514 Ph: (817) 334-1400	Holly Karen Mullins, 5450 Clearfork Main St Ste 300, Fort Worth, TX 76109-3514 Ph: (817) 334-1400

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
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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

Holly Karen Mullins, - Medicare Nurse Practitioner in Fort Worth, TX