Melissa Ann Hataway, FNP in Mansfield, TX - Medicare Nurse Practitioner

Melissa Ann Hataway, FNP is a medicare enrolled "Nurse Practitioner - Family" in Mansfield, Texas. Her current practice location is 801 Matlock Rd, Mansfield, Texas. You can reach out to her office (for appointments etc.) via phone at (817) 347-8400.

Melissa Ann Hataway is licensed to practice in Texas (license number AP135600) 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 1649782046.

Contact Information

	Melissa Ann Hataway, FNP
	801 Matlock Rd, Mansfield, TX 76063-9174
	(817) 347-8400
	(817) 347-8495

Map and Direction

Provider's Profile

Full Name	Melissa Ann Hataway
Gender	Female
Speciality	Nurse Practitioner - Family
Location	801 Matlock Rd, Mansfield, Texas
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1649782046
Provider Enumeration Date: 10/25/2017
Last Update Date: 01/02/2018

Medicare PECOS Information:

PECOS PAC ID: 4284992785
Enrollment ID: I20171211000337

Medical Identifiers

Medical identifiers for Melissa Ann Hataway such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1649782046	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	AP135600 (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. Melissa Ann Hataway allows following entities to bill medicare on her behalf.

Entity Name	Medhealth
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1912957200 PECOS PAC ID: 9931001567 Enrollment ID: O20040123000832

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. Melissa Ann Hataway 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
Melissa Ann Hataway, FNP Po Box 99371, Fort Worth, TX 76199-0371 Ph: (682) 885-1855	Melissa Ann Hataway, FNP 801 Matlock Rd, Mansfield, TX 76063-9174 Ph: (817) 347-8400

Reviews and Comments

Nurse Practitioner Nurses in Mansfield, TX

Ms. Courtney Miller, APRN-CNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1707 Clover Hill Rd, Mansfield, TX 76063 Phone: 817-456-8798
Mr. Laurence A. Gadbois Jr., FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2303 Lockshire Dr, Mansfield, TX 76063 Phone: 682-225-0319
Mrs. Linda Gail Langston, RNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2800 E Broad Street Suite 400, Mansfield, TX 76063 Phone: 817-477-9292
Mrs. Renee Rachelle Baril, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 120 N Miller Rd Ste 300, Mansfield, TX 76063 Phone: 682-341-7510 Fax: 682-341-7511
Mrs. Saaghe Mmbi Fogwe, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1475 Heritage Pkwy Ste 225, Mansfield, TX 76063 Phone: 817-453-7522 Fax: 866-665-6659
Oluwatosin B Ajibola, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 300 Captains Ct, Mansfield, TX 76063 Phone: 817-239-2205
Mrs. Tanita Breyannen Denae Butler, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2200 Matlock Rd, Mansfield, TX 76063 Phone: 817-453-0267

Melissa Ann Hataway, FNP - Medicare Nurse Practitioner in Mansfield, TX