Mrs Valerie Blair Antonio, FNP-C in Fort Worth, TX

Mrs Valerie Blair Antonio, FNP-C is a medicare enrolled "Nurse Practitioner - Family" in Fort Worth, Texas. Her current practice location is 1129 6th Ave, Fort Worth, Texas. You can reach out to her office (for appointments etc.) via phone at (682) 885-6248.

Mrs Valerie Blair Antonio is licensed to practice in Texas (license number 876622) 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 1962920611.

Contact Information

	Mrs Valerie Blair Antonio, FNP-C
	1129 6th Ave, Fort Worth, TX 76104-4306
	(682) 885-6248
	(682) 885-6249

Map and Direction

Provider's Profile

Full Name	Mrs Valerie Blair Antonio
Gender	Female
Speciality	Nurse Practitioner - Family
Location	1129 6th 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: 1962920611
Provider Enumeration Date: 09/01/2017
Last Update Date: 10/03/2022

Medicare PECOS Information:

PECOS PAC ID: 6305104365
Enrollment ID: I20171220001731

Medical Identifiers

Medical identifiers for Mrs Valerie Blair Antonio such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1962920611	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	876622 (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 Valerie Blair Antonio 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. Mrs Valerie Blair Antonio 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 Valerie Blair Antonio, FNP-C Po Box 733784, Dallas, TX 75373-3784 Ph: (682) 885-1860	Mrs Valerie Blair Antonio, FNP-C 1129 6th Ave, Fort Worth, TX 76104-4306 Ph: (682) 885-6248

Reviews and Comments

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Mrs Valerie Blair Antonio, FNP-C - Medicare Nurse Practitioner in Fort Worth, TX