Melissa Chavira De La Vega, PMHNP in Fort Worth, TX

Melissa Chavira De La Vega, PMHNP is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" in Fort Worth, Texas. Her current practice location is 1300 S University Dr, Fort Worth, Texas. You can reach out to her office (for appointments etc.) via phone at (682) 885-1050.

Melissa Chavira De La Vega is licensed to practice in Texas (license number 797788) 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 1376829051.

Contact Information

	Melissa Chavira De La Vega, PMHNP
	1300 S University Dr, Fort Worth, TX 76107-5737
	(682) 885-1050
	(682) 885-7572

Map and Direction

Provider's Profile

Full Name	Melissa Chavira De La Vega
Gender	Female
Speciality	Nurse Practitioner - Psychiatric/mental Health
Location	1300 S University Dr, 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: 1376829051
Provider Enumeration Date: 10/26/2011
Last Update Date: 04/03/2012

Medicare PECOS Information:

PECOS PAC ID: 7113192204
Enrollment ID: I20111220000113

Medical Identifiers

Medical identifiers for Melissa Chavira De La Vega such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1376829051	NPI	-	NPPES
287585801	Medicaid	TX
287585802	Other	TX	CSHCN

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LP0808X	Nurse Practitioner - Psychiatric/mental Health	797788 (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 Chavira De La Vega allows following entities to bill medicare on her behalf.

Entity Name	My Health My Resources Of Tarrant County
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1952423782 PECOS PAC ID: 6406755693 Enrollment ID: O20040107000397

Entity Name	Behavioral Health Of North Texas Llp
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1699328195 PECOS PAC ID: 4880924166 Enrollment ID: O20190930002329

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 Chavira De La Vega 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 Chavira De La Vega, PMHNP Po Box 99371, Fort Worth, TX 76199-0371 Ph: (682) 885-1855	Melissa Chavira De La Vega, PMHNP 1300 S University Dr, Fort Worth, TX 76107-5737 Ph: (682) 885-1050

Reviews and Comments

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Melissa Chavira De La Vega, PMHNP - Medicare Nurse Practitioner in Fort Worth, TX