<unavail> in Arlington, TX - Medicare Nurse Practitioner

is a medicare enrolled primary clinic (Nurse Practitioner - Acute Care) in Arlington, Texas. The current practice location for is 1606 Industrial Ct, Arlington, Texas. For appointments, you can reach them via phone at (682) 248-3918. The mailing address for is 1606 Industrial Ct, Arlington, Texas and phone number is (682) 248-3918.

is licensed to practice in * (Not Available) (license number ). The clinic also participates in the medicare program and its NPI number is 1992579080. This medical practice accepts medicare insurance (which means this clinic accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance). However, please confirm if they accept your insurance at (682) 248-3918.

Contact Information


	1606 Industrial Ct Arlington TX 76011-4726
	(682) 248-3918
	(682) 248-3321

Map and Direction

Primary Care Clinic Profile

Full Name
Speciality	Nurse Practitioner
Location	1606 Industrial Ct, Arlington, Texas
Authorized Official Name and Position	Kalethia Bush (OFFICE ADMINISTRATOR)
Authorized Official Contact	9728612013
Accepts Medicare Insurance	Yes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
1606 Industrial Ct Arlington TX 76011-4726 Ph: (682) 248-3918	1606 Industrial Ct Arlington TX 76011-4726 Ph: (682) 248-3918

NPI Details:

NPI Number	1992579080
Provider Enumeration Date	11/09/2023
Last Update Date	12/16/2024

Medicare PECOS Information:

Medicare PECOS PAC ID	1850737628
Medicare Enrollment ID	O20240314003637

Medical Identifiers

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

Identifier	Type	State	Issuer
1992579080	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
261QP2300X	Clinic/center - Primary Care	(* (Not Available))	Secondary
363LA2100X	Nurse Practitioner - Acute Care	(* (Not Available))	Primary
363LF0000X	Nurse Practitioner - Family	(* (Not Available))	Secondary
363LX0106X	Nurse Practitioner - Occupational Health	(* (Not Available))	Secondary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. acts as a billing entity for following providers:

Provider Name	Kimberly Michelle Wright-fenner
Provider Type	Practitioner - Nurse Practitioner
Provider Identifiers	NPI Number: 1285883686 PECOS PAC ID: 3678768587 Enrollment ID: I20101117000279

Reviews and Comments

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- Medicare Primary Care in Arlington, TX