Ms Terri Losack Wade, FNP | |
500 S Henderson St Ste 200, Fort Worth, TX 76104-2154 | |
(817) 413-1500 | |
(817) 413-1499 |
Full Name | Ms Terri Losack Wade |
---|---|
Gender | Female |
Speciality | Nurse Practitioner |
Experience | 20 Years |
Location | 500 S Henderson St Ste 200, Fort Worth, Texas |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1982637740 | NPI | - | NPPES |
175300601 | Medicaid | TX | |
8451NZ | Other | TX | BLUE CROSS BLUE SHIELD |
369687402 | Medicaid | TX |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | 554994 (Texas) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Texas Oncology Pa | 5395658934 | 886 |
Entity Name | Texas Oncology Pa |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1811944101 PECOS PAC ID: 5395658934 Enrollment ID: O20031124000323 |
Mailing Address | Practice Location Address |
---|---|
Ms Terri Losack Wade, FNP Po Box 911230, Dallas, TX 75391-1230 Ph: (972) 997-8000 | Ms Terri Losack Wade, FNP 500 S Henderson St Ste 200, Fort Worth, TX 76104-2154 Ph: (817) 413-1500 |
Mrs. Amy Michelle Medalie, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 4405 River Oaks Blvd, Fort Worth, TX 76114 Phone: 817-624-1770 Fax: 817-625-1287 | |
Valerie Elise Ward, RN, CPNP-PC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2755 Miller Ave, Fort Worth, TX 76105 Phone: 817-534-7110 Fax: 817-413-0521 | |
Maria Sybil Gagliano, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 6000 Bryant Irvin Rd, Fort Worth, TX 76132 Phone: 866-389-2727 | |
Kristi E Tucker, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 801 7th Ave, Fort Worth, TX 76104 Phone: 682-885-1475 Fax: 682-885-7520 | |
Lacy Pitchford, CPNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1263 W Rosedale St Ste 200, Fort Worth, TX 76104 Phone: 817-336-4896 Fax: 817-332-2805 | |
Mary Agnes Johnson, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1400 8th Ave, Fort Worth, TX 76104 Phone: 817-922-7070 | |
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 |