Mrs Jeaniece P Mukherjee, CRNA - Medicare Nurse Anesthetist, Certified Registered in Fort Worth, TX

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Mrs Jeaniece P Mukherjee, CRNA is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Fort Worth, Texas. Her current practice location is 1000 Lipscomb St Ste 110, Fort Worth, Texas. You can reach out to her office (for appointments etc.) via phone at (817) 348-8600.

Mrs Jeaniece P Mukherjee is licensed to practice in Texas (license number 678919) 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 1407093735.

Contact Information

Mrs Jeaniece P Mukherjee, CRNA
1000 Lipscomb St Ste 110,
Fort Worth, TX 76104-3181
(817) 348-8600
Not Available

Map and Direction




Provider's Profile

Full NameMrs Jeaniece P Mukherjee
GenderFemale
SpecialityNurse Anesthetist, Certified Registered
Location1000 Lipscomb St Ste 110, Fort Worth, Texas
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1407093735
  • Provider Enumeration Date: 01/08/2009
  • Last Update Date: 09/10/2020
  Medicare PECOS Information:
  • PECOS PAC ID: 3072678697
  • Enrollment ID: I20090216000290

Medical Identifiers

Medical identifiers for Mrs Jeaniece P Mukherjee such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1407093735NPI-NPPES
00N47FOtherTXMEDICARE GROUP NUMBER
199310708MedicaidTX
199310702MedicaidTX
140442853OtherTXCSHCN GROUP NUMBER
199310703OtherTXCSHCN
137345809OtherTXMEDICAID GROUP NUMBER

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
367500000XNurse Anesthetist, Certified Registered 678919 (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 Jeaniece P Mukherjee allows following entities to bill medicare on her behalf.
Entity NamePinnacle Anesthesia Consultants, Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1457342297
PECOS PAC ID: 7416850896
Enrollment ID: O20040330000217
Entity NameSummit Pain & Anesthesia Consultants
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1508895301
PECOS PAC ID: 1951355239
Enrollment ID: O20050309000756
Entity NameSpine Team Texas Pa
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1629082995
PECOS PAC ID: 6507888757
Enrollment ID: O20051230000616
Entity NameYoungs Professional Services Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1922178599
PECOS PAC ID: 2163524992
Enrollment ID: O20120104000614
Entity NameEndo Sedation Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1588931174
PECOS PAC ID: 4789845363
Enrollment ID: O20120406000221
Entity NameLewis 360 Medical Solutions Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1932509635
PECOS PAC ID: 2466674924
Enrollment ID: O20141118000457
Entity NameSeena Anesthesia Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1740676105
PECOS PAC ID: 1153642848
Enrollment ID: O20150605002698
Entity NameEmergenchealth Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1467970897
PECOS PAC ID: 1355606641
Enrollment ID: O20180608000439
Entity NameSp Pain Partners Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1679078075
PECOS PAC ID: 8022360437
Enrollment ID: O20181012002465

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 Jeaniece P Mukherjee 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 AddressPractice Location Address
Mrs Jeaniece P Mukherjee, CRNA
Po Box 162835,
Fort Worth, TX 76161-2835

Ph: (817) 334-0530		Mrs Jeaniece P Mukherjee, CRNA
1000 Lipscomb St Ste 110,
Fort Worth, TX 76104-3181

Ph: (817) 348-8600

Reviews and Comments


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Mr. John Paul Schreiner, CRNA
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Allyson Evans,
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Dr. Shaquitta Nicole Bell, CRNA
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Ms. Patricia L. Gillum, CRNA
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Erin Lenora Schwarz, CRNA, DNP
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Practice Location: 1400 8th Ave, Fort Worth, TX 76104
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Anthony Casey Randolph,
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Practice Location: 1500 S Main St, Fort Worth, TX 76104
Phone: 817-920-6864    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.