Pete C Bravo Jr, FNP - Medicare Nurse Practitioner in Southlake, TX

Pete C Bravo Jr, FNP is a medicare enrolled "Nurse Practitioner" in Southlake, Texas. His current practice location is 2777 E Southlake Blvd Ste 140, Southlake, Texas. You can reach out to his office (for appointments etc.) via phone at (817) 686-8104.

Pete C Bravo Jr is licensed to practice in Texas (license number AP140592) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1073079216.

Contact Information

Pete C Bravo Jr, FNP
2777 E Southlake Blvd Ste 140,
Southlake, TX 76092-8017
(817) 686-8104
Not Available

Map and Direction




Provider's Profile

Full NamePete C Bravo Jr
GenderMale
SpecialityNurse Practitioner
Location2777 E Southlake Blvd Ste 140, Southlake, Texas
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1073079216
  • Provider Enumeration Date: 02/12/2019
  • Last Update Date: 01/13/2020
  Medicare PECOS Information:
  • PECOS PAC ID: 2769723782
  • Enrollment ID: I20190401000918

Medical Identifiers

Medical identifiers for Pete C Bravo Jr such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1073079216NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LP2300XNurse Practitioner - Primary Care AP140592 (Texas)Secondary
363L00000XNurse Practitioner AP140592 (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. Pete C Bravo Jr allows following entities to bill medicare on his behalf.
Entity NameTexas Phlebology Pa
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1730450115
PECOS PAC ID: 3476719493
Enrollment ID: O20120719000196
Entity NameDispatchhealth-texas P A
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1649787896
PECOS PAC ID: 5395006035
Enrollment ID: O20180221000735

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. Pete C Bravo Jr 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
Pete C Bravo Jr, FNP
2001 Butterfield Rd, Ste 300,
Downers Grove, IL 60515-1069

Ph: (630) 725-2700
Pete C Bravo Jr, FNP
2777 E Southlake Blvd Ste 140,
Southlake, TX 76092-8017

Ph: (817) 686-8104

Reviews and Comments


Nurse Practitioner Nurses in Southlake, TX

Carmen Santiago, APRN-CNP
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Phone: 817-310-1100    Fax: 817-310-1197
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Phone: 817-488-1956    Fax: 817-488-8675
Mona Lisa Jimenez, PMHNP-BC
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Phone: 844-824-8775    
Britney Molini, APRN
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Practice Location: 1050 E State Highway 114 Ste 100, Southlake, TX 76092
Phone: 817-329-8364    
Andrew Sadousky, MS, FNP-C
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Medicare: Not Enrolled in Medicare
Practice Location: 250 Miron Dr, Southlake, TX 76092
Phone: 817-328-3000    

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.