River Park Medical Clinic - Medicare Primary Care in Fort Worth, TX

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River Park Medical Clinic is a medicare enrolled primary clinic (Internal Medicine) in Fort Worth, Texas. The current practice location for River Park Medical Clinic is 2550 River Park Plz, Suite 110, Fort Worth, Texas. For appointments, you can reach them via phone at (817) 731-1289. The mailing address for River Park Medical Clinic is 2550 River Park Plz, Suite 110, Fort Worth, Texas and phone number is (817) 731-1289.

River Park Medical Clinic is licensed to practice in * (Not Available) (license number ). The clinic also participates in the medicare program and its NPI number is 1417954389. 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 (817) 731-1289.

Contact Information

River Park Medical Clinic
2550 River Park Plz
Suite 110
Fort Worth
TX 76116-0920
(817) 731-1289
(817) 731-1291

Map and Direction


Primary Care Clinic Profile

Full NameRiver Park Medical Clinic
SpecialityInternal Medicine
Location2550 River Park Plz, Fort Worth, Texas
Authorized Official Name and PositionQuang Trong Le (DO/OWNER)
Authorized Official Contact8177311289
Accepts Medicare InsuranceYes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
River Park Medical Clinic
2550 River Park Plz
Suite 110
Fort Worth
TX 76116-0920

Ph: (817) 731-1289		River Park Medical Clinic
2550 River Park Plz
Suite 110
Fort Worth
TX 76116-0920

Ph: (817) 731-1289

NPI Details:

NPI Number1417954389
Provider Enumeration Date07/07/2005
Last Update Date01/08/2019

Medicare PECOS Information:

Medicare PECOS PAC ID6800850470
Medicare Enrollment IDO20041113000052

Medical Identifiers

Medical identifiers for River Park Medical Clinic such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1417954389NPI-NPPES
168553902MedicaidTX

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine (* (Not Available))Secondary
207QG0300XFamily Medicine - Geriatric Medicine (* (Not Available))Secondary
207R00000XInternal Medicine (* (Not Available))Primary
363LF0000XNurse Practitioner - Family (* (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. River Park Medical Clinic acts as a billing entity for following providers:
Provider NameNgoc V Tran
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1093735292
PECOS PAC ID: 6507837937
Enrollment ID: I20040802000281
Provider NameQuang T Le
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1992702062
PECOS PAC ID: 9537123104
Enrollment ID: I20041113000057
Provider NameLily N Tran
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1265489330
PECOS PAC ID: 8123127487
Enrollment ID: I20070627000351
Provider NameDenise K Bruckerhoff
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1164690111
PECOS PAC ID: 8224189139
Enrollment ID: I20090706000117
Provider NameJessica L Ives
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1902153505
PECOS PAC ID: 3577713700
Enrollment ID: I20121025000136
Provider NameLe Thao Nguyen
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1801212642
PECOS PAC ID: 0143443622
Enrollment ID: I20140602001719
Provider NameKailey C Hatfield
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1629441746
PECOS PAC ID: 6103127352
Enrollment ID: I20151214001242
Provider NameMelissa M Hudson
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1649532953
PECOS PAC ID: 6709170236
Enrollment ID: I20160806000005
Provider NameJennifer A Burkholz
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1346651999
PECOS PAC ID: 9537431838
Enrollment ID: I20170822001370
Provider NameMelissa A Burkett
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1316447642
PECOS PAC ID: 6608138623
Enrollment ID: I20180402001470
Provider NameFelicia E Burk
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1265934962
PECOS PAC ID: 1759644073
Enrollment ID: I20180418001868
Provider NameKelly E Smith
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1629849039
PECOS PAC ID: 8426491069
Enrollment ID: I20240209003433

Reviews and Comments


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Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.