Kelley Dawn Wilcher, APRN, FNP-BC is a medicare enrolled "Nurse Practitioner - Family" in Ft. Worth, Texas. Her current practice location is
6049 S Hulen St, Ft. Worth, Texas. You can reach out to her office (for appointments etc.) via phone at
(817) 346-3313.
Kelley Dawn Wilcher is licensed to practice in Texas (license number AP142250) 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 1275186876.
Provider's Profile
| Full Name | Kelley Dawn Wilcher |
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| Gender | Female |
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| Speciality | Nurse Practitioner - Family |
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| Location | 6049 S Hulen St, Ft. Worth, Texas |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1275186876
- Provider Enumeration Date: 07/23/2019
- Last Update Date: 06/19/2024
Medicare PECOS Information:
- PECOS PAC ID: 6901233675
- Enrollment ID: I20200219002509
Medical Identifiers
Medical identifiers for Kelley Dawn Wilcher such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1275186876 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 363LF0000X | Nurse Practitioner - Family | AP142250 (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. Kelley Dawn Wilcher allows following entities to bill medicare on her behalf.
| Entity Name | Casper Regenerative And Physical Medicine, Pllc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1689227233
PECOS PAC ID: 9537596200
Enrollment ID: O20200219002533 |
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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. Kelley Dawn Wilcher 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 |
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Kelley Dawn Wilcher, APRN, FNP-BC
1728 County Road 3791,
Paradise, TX 76073-4922
Ph: () - | Kelley Dawn Wilcher, APRN, FNP-BC
6049 S Hulen St,
Ft. Worth, TX 76132-4815
Ph: (817) 346-3313 |
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