Modena Ruvalcaba, CNM in Fort Worth, TX - Medicare Advanced Practice Midwife

Modena Ruvalcaba, CNM is a medicare enrolled "Advanced Practice Midwife" in Fort Worth, Texas. Her current practice location is 1500 S Main St Fl 2, Fort Worth, Texas. You can reach out to her office (for appointments etc.) via phone at (817) 702-3000.

Modena Ruvalcaba is licensed to practice in Texas (license number 751014) 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 1881015063.

Contact Information

	Modena Ruvalcaba, CNM
	1500 S Main St Fl 2, Fort Worth, TX 76104-4917
	(817) 702-3000
	Not Available

Map and Direction

Provider's Profile

Full Name	Modena Ruvalcaba
Gender	Female
Speciality	Advanced Practice Midwife
Location	1500 S Main St Fl 2, 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: 1881015063
Provider Enumeration Date: 12/14/2013
Last Update Date: 11/18/2020

Medicare PECOS Information:

PECOS PAC ID: 6406086388
Enrollment ID: I20140221000629

Medical Identifiers

Medical identifiers for Modena Ruvalcaba such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1881015063	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
367A00000X	Advanced Practice Midwife	751014 (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. Modena Ruvalcaba allows following entities to bill medicare on her behalf.

Entity Name	University Of Texas Southwestern Medical Center At Dallas
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1972579365 PECOS PAC ID: 0648188250 Enrollment ID: O20031106000792

Entity Name	Acclaim Physician Group Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1780076562 PECOS PAC ID: 4587963582 Enrollment ID: O20160426000707

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. Modena Ruvalcaba 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
Modena Ruvalcaba, CNM 3501 N Macarthur Blvd, Suite 500, Irving, TX 75062-3651 Ph: (972) 256-3700	Modena Ruvalcaba, CNM 1500 S Main St Fl 2, Fort Worth, TX 76104-4917 Ph: (817) 702-3000

Reviews and Comments

Advanced Practice Midwife Nurses in Fort Worth, TX

Crystal Rene Rose, CNM Advanced Practice Midwife Medicare: Accepting Medicare Assignments Practice Location: 7016 Bryant Irvin Rd Ste 100, Fort Worth, TX 76132 Phone: 817-377-8820 Fax: 817-377-8450
Candis M Hicks, CNM Advanced Practice Midwife Medicare: Medicare Enrolled Practice Location: 1300 W Terrell Ave Ste 320, Fort Worth, TX 76104 Phone: 817-250-7360
Ashlyn E Sconyers, Advanced Practice Midwife Medicare: Not Enrolled in Medicare Practice Location: 10345 Alta Vista Rd, Fort Worth, TX 76244 Phone: 817-562-2828
Shannon Riley Dasilva, CNM Advanced Practice Midwife Medicare: Accepting Medicare Assignments Practice Location: 4801 Sleepy Ridge Cir, Fort Worth, TX 76133 Phone: 817-727-2066
Katrina Karn, CNM Advanced Practice Midwife Medicare: Not Enrolled in Medicare Practice Location: 622 Hemphill St, Fort Worth, TX 76104 Phone: 817-878-2737
Ms. Sarah Katherine Morrow, CRNM Advanced Practice Midwife Medicare: Medicare Enrolled Practice Location: 1300 W Terrell Ave Ste 340, Fort Worth, TX 76104 Phone: 817-702-9000 Fax: 817-882-8653
Katherine Lacey Hopkins, CNM Advanced Practice Midwife Medicare: Medicare Enrolled Practice Location: 1300 W Terrell Ave Ste 320, Fort Worth, TX 76104 Phone: 817-250-7360

Modena Ruvalcaba, CNM - Medicare Advanced Practice Midwife in Fort Worth, TX