Lacy Pitchford, CPNP in Fort Worth, TX - Medicare Nurse Practitioner

Lacy Pitchford, CPNP is a medicare enrolled "Nurse Practitioner - Primary Care" in Fort Worth, Texas. Her current practice location is 1263 W Rosedale St Ste 200, Fort Worth, Texas. You can reach out to her office (for appointments etc.) via phone at (817) 336-4896.

Lacy Pitchford is licensed to practice in Texas (license number AP125452) 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 1003235672.

Contact Information

	Lacy Pitchford, CPNP
	1263 W Rosedale St Ste 200, Fort Worth, TX 76104-2837
	(817) 336-4896
	(817) 332-2805

Map and Direction

Provider's Profile

Full Name	Lacy Pitchford
Gender	Female
Speciality	Nurse Practitioner - Primary Care
Location	1263 W Rosedale St Ste 200, 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: 1003235672
Provider Enumeration Date: 04/10/2014
Last Update Date: 05/08/2024

Medicare PECOS Information:

PECOS PAC ID: 0446475479
Enrollment ID: I20140708001809

Medical Identifiers

Medical identifiers for Lacy Pitchford such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1003235672	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LP0200X	Nurse Practitioner - Pediatrics	684218 (Texas)	Secondary
363LP2300X	Nurse Practitioner - Primary Care	AP125452 (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. Lacy Pitchford 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

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. Lacy Pitchford 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
Lacy Pitchford, CPNP Po Box 733784, Dallas, TX 75373-3784 Ph: (682) 885-1855	Lacy Pitchford, CPNP 1263 W Rosedale St Ste 200, Fort Worth, TX 76104-2837 Ph: (817) 336-4896

Reviews and Comments

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Lacy Pitchford, CPNP - Medicare Nurse Practitioner in Fort Worth, TX