Susan Folsom, APRN-CNP in Fort Worth, TX - Medicare Nurse Practitioner

Susan Folsom, APRN-CNP is a medicare enrolled "Nurse Practitioner - Acute Care" in Fort Worth, Texas. Her current practice location is 6124 Farrah Dr, Fort Worth, Texas. You can reach out to her office (for appointments etc.) via phone at (469) 506-3595.

Susan Folsom is licensed to practice in Texas (license number 1113050) 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 1598453813.

Contact Information

	Susan Folsom, APRN-CNP
	6124 Farrah Dr, Fort Worth, TX 76131-1265
	(469) 506-3595
	Not Available

Map and Direction

Provider's Profile

Full Name	Susan Folsom
Gender	Female
Speciality	Nurse Practitioner - Acute Care
Location	6124 Farrah Dr, 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: 1598453813
Provider Enumeration Date: 04/25/2023
Last Update Date: 10/12/2024

Medicare PECOS Information:

PECOS PAC ID: 3375980162
Enrollment ID: I20240328003020

Medical Identifiers

Medical identifiers for Susan Folsom such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1598453813	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LA2100X	Nurse Practitioner - Acute Care	1113050 (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. Susan Folsom allows following entities to bill medicare on her behalf.

Entity Name	Texas Wound Care Specialists Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1487362851 PECOS PAC ID: 4183097983 Enrollment ID: O20230307000471

Entity Name	Lake Granbury Hospital-based Professional Services
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1689443467 PECOS PAC ID: 3971940966 Enrollment ID: O20240326003607

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. Susan Folsom 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
Susan Folsom, APRN-CNP 6124 Farrah Dr, Fort Worth, TX 76131-1265 Ph: () -	Susan Folsom, APRN-CNP 6124 Farrah Dr, Fort Worth, TX 76131-1265 Ph: (469) 506-3595

Reviews and Comments

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Susan Folsom, APRN-CNP - Medicare Nurse Practitioner in Fort Worth, TX