Sharon Mavis Adukwei Myers-tackie, CNP in Grand Prairie, TX

Sharon Mavis Adukwei Myers-tackie, CNP is a medicare enrolled "Nurse Practitioner - Gerontology" in Grand Prairie, Texas. Her current practice location is 6920 Sarria, Grand Prairie, Texas. You can reach out to her office (for appointments etc.) via phone at (704) 779-3067.

Sharon Mavis Adukwei Myers-tackie is licensed to practice in Texas (license number 1099779) 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 1912617663.

Contact Information

	Sharon Mavis Adukwei Myers-tackie, CNP
	6920 Sarria, Grand Prairie, TX 75054-5548
	(704) 779-3067
	Not Available

Map and Direction

Provider's Profile

Full Name	Sharon Mavis Adukwei Myers-tackie
Gender	Female
Speciality	Nurse Practitioner - Gerontology
Location	6920 Sarria, Grand Prairie, Texas
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1912617663
Provider Enumeration Date: 12/02/2022
Last Update Date: 12/02/2022

Medicare PECOS Information:

PECOS PAC ID: 3173997459
Enrollment ID: I20230328002926

Medical Identifiers

Medical identifiers for Sharon Mavis Adukwei Myers-tackie such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1912617663	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LA2100X	Nurse Practitioner - Acute Care	1099779 (Texas)	Secondary
363LA2200X	Nurse Practitioner - Adult Health	1099779 (Texas)	Secondary
363LG0600X	Nurse Practitioner - Gerontology	1099779 (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. Sharon Mavis Adukwei Myers-tackie allows following entities to bill medicare on her behalf.

Entity Name	Neurology Care Pllc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1205360146 PECOS PAC ID: 0244517084 Enrollment ID: O20170504001947

Entity Name	Vital Physician House Calls Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1225650468 PECOS PAC ID: 2163843616 Enrollment ID: O20200609001292

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. Sharon Mavis Adukwei Myers-tackie 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
Sharon Mavis Adukwei Myers-tackie, CNP 6920 Sarria, Grand Prairie, TX 75054-5548 Ph: (704) 779-3067	Sharon Mavis Adukwei Myers-tackie, CNP 6920 Sarria, Grand Prairie, TX 75054-5548 Ph: (704) 779-3067

Reviews and Comments

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Sharon Mavis Adukwei Myers-tackie, CNP - Medicare Nurse Practitioner in Grand Prairie, TX