Jaishree Raghavan, APRN, PMHNP-BC in Fort Worth, TX

Jaishree Raghavan, APRN, PMHNP-BC is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" in Fort Worth, Texas. Her current practice location is 1300 S University Dr Ste 306, Fort Worth, Texas. You can reach out to her office (for appointments etc.) via phone at (844) 824-8775.

Jaishree Raghavan is licensed to practice in Texas (license number 1069904) 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 1295489607.

Contact Information

	Jaishree Raghavan, APRN, PMHNP-BC
	1300 S University Dr Ste 306, Fort Worth, TX 76107-5746
	(844) 824-8775
	Not Available

Map and Direction

Provider's Profile

Full Name	Jaishree Raghavan
Gender	Female
Speciality	Nurse Practitioner - Psychiatric/mental Health
Location	1300 S University Dr Ste 306, 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: 1295489607
Provider Enumeration Date: 02/05/2022
Last Update Date: 01/09/2023

Medicare PECOS Information:

PECOS PAC ID: 7315327681
Enrollment ID: I20220704000317

Medical Identifiers

Medical identifiers for Jaishree Raghavan such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1295489607	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LP0808X	Nurse Practitioner - Psychiatric/mental Health	1069904 (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. Jaishree Raghavan allows following entities to bill medicare on her behalf.

Entity Name	Progressive Behavioral Health, Pllc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1659567238 PECOS PAC ID: 4486794906 Enrollment ID: O20091214000763

Entity Name	Mona Alvi Md Pa
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1144478389 PECOS PAC ID: 2365699675 Enrollment ID: O20120821000877

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. Jaishree Raghavan 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
Jaishree Raghavan, APRN, PMHNP-BC 2718 Ferncrest Trl, Mansfield, TX 76063-7591 Ph: (817) 713-2757	Jaishree Raghavan, APRN, PMHNP-BC 1300 S University Dr Ste 306, Fort Worth, TX 76107-5746 Ph: (844) 824-8775

Reviews and Comments

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Jaishree Raghavan, APRN, PMHNP-BC - Medicare Nurse Practitioner in Fort Worth, TX