Tricia Kelly, NURSE PRACTITIONER | |
1325 Pennsylvania Avenue Suite 560, Fort Worth, TX 76104 | |
(817) 820-2890 | |
(817) 810-0725 |
Full Name | Tricia Kelly |
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Gender | Female |
Speciality | Nurse Practitioner |
Experience | 7 Years |
Location | 1325 Pennsylvania Avenue Suite 560, 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 |
---|---|---|---|
1356848899 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363L00000X | Nurse Practitioner | 821766 (Texas) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Healthtexas Provider Network | 1355254210 | 1844 |
Entity Name | Healthtexas Provider Network |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1760488936 PECOS PAC ID: 1355254210 Enrollment ID: O20040727001187 |
Entity Name | Diabetes & Endocrine Associates Of Tarrant County, L.l.p. |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1851305460 PECOS PAC ID: 3476557554 Enrollment ID: O20060901000113 |
Mailing Address | Practice Location Address |
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Tricia Kelly, NURSE PRACTITIONER 1216 Berkeley Dr, Burleson, TX 76028-8220 Ph: (817) 905-6050 | Tricia Kelly, NURSE PRACTITIONER 1325 Pennsylvania Avenue Suite 560, Fort Worth, TX 76104 Ph: (817) 820-2890 |
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 |