Miss Rukhsana Rahmetulla, RN, MSN, CPNP in Fort Worth, TX

Miss Rukhsana Rahmetulla, RN, MSN, CPNP is a medicare enrolled "Nurse Practitioner - Pediatrics" in Fort Worth, Texas. Her current practice location is 1500 Cooper St, Fort Worth, Texas. You can reach out to her office (for appointments etc.) via phone at (682) 885-4007.

Miss Rukhsana Rahmetulla is licensed to practice in Texas (license number AP107520) 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 1053547158.

Contact Information

	Miss Rukhsana Rahmetulla, RN, MSN, CPNP
	1500 Cooper St, Fort Worth, TX 76104-2710
	(682) 885-4007
	(682) 885-3914

Map and Direction

Provider's Profile

Full Name	Miss Rukhsana Rahmetulla
Gender	Female
Speciality	Nurse Practitioner - Pediatrics
Location	1500 Cooper St, 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: 1053547158
Provider Enumeration Date: 06/03/2009
Last Update Date: 01/25/2023

Medicare PECOS Information:

PECOS PAC ID: 5193859973
Enrollment ID: I20230104002277

Medical Identifiers

Medical identifiers for Miss Rukhsana Rahmetulla such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1053547158	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LP0200X	Nurse Practitioner - Pediatrics	2009011662 (Missouri)	Secondary
363LP0200X	Nurse Practitioner - Pediatrics	AP107520 (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. Miss Rukhsana Rahmetulla 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. Miss Rukhsana Rahmetulla 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
Miss Rukhsana Rahmetulla, RN, MSN, CPNP Po Box 733784, Dallas, TX 75373-3784 Ph: (682) 885-6483	Miss Rukhsana Rahmetulla, RN, MSN, CPNP 1500 Cooper St, Fort Worth, TX 76104-2710 Ph: (682) 885-4007

Reviews and Comments

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Miss Rukhsana Rahmetulla, RN, MSN, CPNP - Medicare Nurse Practitioner in Fort Worth, TX