| E.scott Ferree, D.o., P.a. | |
|
4021 Rothington Rd Fort Worth TX 76116-7919 | |
| (817) 371-2766 | |
| Not Available |
| Full Name | E.scott Ferree, D.o., P.a. |
|---|---|
| Speciality | Internal Medicine |
| Location | 4021 Rothington Rd, Fort Worth, Texas |
| Authorized Official Name and Position | Edward Scott Ferree (PRESIDENT) |
| Authorized Official Contact | 8173712766 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| E.scott Ferree, D.o., P.a. 4021 Rothington Rd Fort Worth TX 76116-7919 Ph: (817) 371-2766 | E.scott Ferree, D.o., P.a. 4021 Rothington Rd Fort Worth TX 76116-7919 Ph: (817) 371-2766 |
| NPI Number | 1316274806 |
|---|---|
| Provider Enumeration Date | 11/04/2009 |
| Last Update Date | 06/07/2010 |
| Medicare PECOS PAC ID | 9830234426 |
|---|---|
| Medicare Enrollment ID | O20100308000223 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1316274806 | NPI | - | NPPES |
| 0009TB | Other | TX | BCBS |
| 210570201 | Medicaid | TX |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Edward S Ferree |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1184699654 PECOS PAC ID: 8325070451 Enrollment ID: I20050908001177 |
| Provider Name | Brittany J Keaton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245771401 PECOS PAC ID: 2961789284 Enrollment ID: I20170515000805 |
| Provider Name | Noel Fell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518471945 PECOS PAC ID: 6406106657 Enrollment ID: I20180910000342 |
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