| Karen Lanette Nielson, MD | |
|
1500 Cooper St, Fort Worth, TX 76104-2710 | |
| (682) 885-4007 | |
| (682) 885-4004 |
| Full Name | Karen Lanette Nielson |
|---|---|
| Gender | Female |
| Speciality | Radiology - Radiation Oncology |
| Location | 1500 Cooper St, Fort Worth, Texas |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1831137454 | NPI | - | NPPES |
| 136928209 | Medicaid | TX | |
| 136928207 | Medicaid | TX | |
| 136928210 | Medicaid | TX | |
| 136928201 | Medicaid | TX | |
| 136928202 | Medicaid | TX | |
| 136928203 | Medicaid | TX | |
| 136928211 | Medicaid | TX | |
| 8R1514 | Other | TX | BLUE CROSS OF TEXAS |
| 136928212 | Medicaid | TX |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2085R0001X | Radiology - Radiation Oncology | H7800 (Texas) | Primary |
| Entity Name | Cook Childrens Physician Network |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1750369203 PECOS PAC ID: 7719884584 Enrollment ID: O20040128000800 |
| Mailing Address | Practice Location Address |
|---|---|
| Karen Lanette Nielson, MD Po Box 99371, Fort Worth, TX 76199-0371 Ph: (682) 885-1855 | Karen Lanette Nielson, MD 1500 Cooper St, Fort Worth, TX 76104-2710 Ph: (682) 885-4007 |
Kelly C Starkey, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 815 Pennsylvania Ave, Fort Worth, TX 76104 Phone: 817-321-0404 Fax: 469-522-6889 | |
Dr. Mark Sohner, M.D. Radiology Medicare: Medicare Enrolled Practice Location: 815 Pennsylvania Ave, Fort Worth, TX 76104 Phone: 173-210-4048 | |
Dr. John A Queralt, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 815 Pennsylvania Ave, Fort Worth, TX 76104 Phone: 817-321-0312 Fax: 817-317-7033 | |
Dr. Robert Joseph Reeb Jr., MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 815 Pennsylvania Ave, Fort Worth, TX 76104 Phone: 817-321-0312 Fax: 817-317-7033 | |
Eugenia Payne, M.D Radiology Medicare: Accepting Medicare Assignments Practice Location: 815 Pennsylvania Ave, Fort Worth, TX 76104 Phone: 817-321-0404 | |
Dr. Jeffrey Scott Wenzel, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 815 Pennsylvania Ave, Fort Worth, TX 76104 Phone: 817-321-0387 | |
Dr. Robert Lewis Emery, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 815 Pennsylvania Ave, Fort Worth, TX 76104 Phone: 817-321-0404 |