Mrs Gibson Ann Hernandez, RN, AGPCNP-BC in Fort Worth, TX

Mrs Gibson Ann Hernandez, RN, AGPCNP-BC is a medicare enrolled "Nurse Practitioner - Adult Health" in Fort Worth, Texas. Her current practice location is 4115 E Lancaster Ave, Fort Worth, Texas. You can reach out to her office (for appointments etc.) via phone at (817) 796-7370.

Mrs Gibson Ann Hernandez is licensed to practice in Texas (license number AP135290) 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 1811408644.

Contact Information

	Mrs Gibson Ann Hernandez, RN, AGPCNP-BC
	4115 E Lancaster Ave, Fort Worth, TX 76103-3614
	(817) 796-7370
	(817) 764-0714

Map and Direction

Provider's Profile

Full Name	Mrs Gibson Ann Hernandez
Gender	Female
Speciality	Nurse Practitioner - Adult Health
Location	4115 E Lancaster Ave, 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: 1811408644
Provider Enumeration Date: 10/19/2017
Last Update Date: 06/30/2022

Medicare PECOS Information:

PECOS PAC ID: 0244652469
Enrollment ID: I20200617000538

Medical Identifiers

Medical identifiers for Mrs Gibson Ann Hernandez such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1811408644	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LA2200X	Nurse Practitioner - Adult Health	AP135290 (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. Mrs Gibson Ann Hernandez allows following entities to bill medicare on her behalf.

Entity Name	James E Race Md Pa
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1467890954 PECOS PAC ID: 0547403024 Enrollment ID: O20130903000033

Entity Name	Oak Street Health Of Texas Pllc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1497387419 PECOS PAC ID: 2163843038 Enrollment ID: O20200601001767

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. Mrs Gibson Ann Hernandez 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
Mrs Gibson Ann Hernandez, RN, AGPCNP-BC Po Box 746079, Atlanta, GA 30374-6079 Ph: (312) 733-9730	Mrs Gibson Ann Hernandez, RN, AGPCNP-BC 4115 E Lancaster Ave, Fort Worth, TX 76103-3614 Ph: (817) 796-7370

Reviews and Comments

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Susan Akberzie, CPNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1401 W Pulaski St, Fort Worth, TX 76104 Phone: 682-885-8012 Fax: 682-885-8014

Mrs Gibson Ann Hernandez, RN, AGPCNP-BC - Medicare Nurse Practitioner in Fort Worth, TX