Wondwessen Kebede, NP in Fort Worth, TX - Medicare Nurse Practitioner

Wondwessen Kebede, NP is a medicare enrolled "Nurse Practitioner - Family" in Fort Worth, Texas. His current practice location is 4701 Boat Club Rd Ste 325, Fort Worth, Texas. You can reach out to his office (for appointments etc.) via phone at (817) 238-1950.

Wondwessen Kebede is licensed to practice in Texas (license number AP134583) 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 1215440961.

Contact Information

	Wondwessen Kebede, NP
	4701 Boat Club Rd Ste 325, Fort Worth, TX 76135-5283
	(817) 238-1950
	Not Available

Map and Direction

Provider's Profile

Full Name	Wondwessen Kebede
Gender	Male
Speciality	Nurse Practitioner - Family
Location	4701 Boat Club Rd Ste 325, 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: 1215440961
Provider Enumeration Date: 11/15/2017
Last Update Date: 04/29/2024

Medicare PECOS Information:

PECOS PAC ID: 4688085392
Enrollment ID: I20201202001254

Medical Identifiers

Medical identifiers for Wondwessen Kebede such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1215440961	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	AP134583 (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. Wondwessen Kebede allows following entities to bill medicare on his behalf.

Entity Name	Texas Health Physicians Group
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1174573596 PECOS PAC ID: 4385535954 Enrollment ID: O20040323000759

Entity Name	Vmd Primary Providers North Texas Pllc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1295338358 PECOS PAC ID: 2769896190 Enrollment ID: O20210127000103

Entity Name	Texas Health Urgent Care
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1952915365 PECOS PAC ID: 0345654414 Enrollment ID: O20210506000184

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. Wondwessen Kebede 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
Wondwessen Kebede, NP 4701 Boat Club Rd Ste 325, Fort Worth, TX 76135-5283 Ph: (817) 238-1950	Wondwessen Kebede, NP 4701 Boat Club Rd Ste 325, Fort Worth, TX 76135-5283 Ph: (817) 238-1950

Reviews and Comments

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Wondwessen Kebede, NP - Medicare Nurse Practitioner in Fort Worth, TX