Whitney Renae Wray, APRN in Fort Worth, TX - Medicare Nurse Practitioner

Whitney Renae Wray, APRN is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" in Fort Worth, Texas. Her current practice location is 3840 Hulen St, Fort Worth, Texas. You can reach out to her office (for appointments etc.) via phone at (817) 569-4039.

Whitney Renae Wray is licensed to practice in Texas (license number 1088178) 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 1114653987.

Contact Information

	Whitney Renae Wray, APRN
	3840 Hulen St, Fort Worth, TX 76107-7277
	(817) 569-4039
	Not Available

Map and Direction

Provider's Profile

Full Name	Whitney Renae Wray
Gender	Female
Speciality	Nurse Practitioner - Psychiatric/mental Health
Location	3840 Hulen St, 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: 1114653987
Provider Enumeration Date: 07/25/2022
Last Update Date: 01/25/2023

Medicare PECOS Information:

PECOS PAC ID: 7911376488
Enrollment ID: I20221206002234

Medical Identifiers

Medical identifiers for Whitney Renae Wray such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1114653987	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
163W00000X	Registered Nurse	953435 (Texas)	Secondary
363LP0808X	Nurse Practitioner - Psychiatric/mental Health	1088178 (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. Whitney Renae Wray allows following entities to bill medicare on her behalf.

Entity Name	My Health My Resources Of Tarrant County
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1952423782 PECOS PAC ID: 6406755693 Enrollment ID: O20040107000397

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. Whitney Renae Wray 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
Whitney Renae Wray, APRN Po Box 2603, Fort Worth, TX 76113-2603 Ph: (817) 569-4039	Whitney Renae Wray, APRN 3840 Hulen St, Fort Worth, TX 76107-7277 Ph: (817) 569-4039

Reviews and Comments

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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

Whitney Renae Wray, APRN - Medicare Nurse Practitioner in Fort Worth, TX