Lacresha Quwanish Carson, FNP-BC is a medicare enrolled "Nurse Practitioner - Family" physician in Ft Worth, Texas. Her current practice location is
6213 Ryan Creek Rd, Ft Worth, Texas. You can reach out to her office (for appointments etc.) via phone at
(903) 701-8032.
Lacresha Quwanish Carson is licensed to practice in Texas (license number 1019234) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1285201582.
Physician's Profile
| Full Name | Lacresha Quwanish Carson |
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| Gender | Female |
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| Speciality | Nurse Practitioner - Family |
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| Location | 6213 Ryan Creek Rd, Ft Worth, Texas |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1285201582
- Provider Enumeration Date: 06/07/2021
- Last Update Date: 01/18/2024
Medicare PECOS Information:
- PECOS PAC ID: 1456752013
- Enrollment ID: I20210702001299
Medical Identifiers
Medical identifiers for Lacresha Quwanish Carson such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1285201582 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 208100000X | Physical Medicine & Rehabilitation | 1019234 (Texas) | Secondary |
| 208VP0000X | Pain Medicine - Pain Medicine | 1019234 (Texas) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | 1019234 (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. Lacresha Quwanish Carson allows following entities to bill medicare on her behalf.
| Entity Name | Asb Doctors Alliance Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1689181455
PECOS PAC ID: 0446510291
Enrollment ID: O20180216000237 |
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| Entity Name | Sierra Healthcare Network Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1194368266
PECOS PAC ID: 6709219710
Enrollment ID: O20191205001548 |
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| Entity Name | Wellness Elite Health Partners Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1841973146
PECOS PAC ID: 6002260197
Enrollment ID: O20230922001938 |
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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. Lacresha Quwanish Carson 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 |
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Lacresha Quwanish Carson, FNP-BC
6213 Ryan Creek Rd,
Ft Worth, TX 76179-7727
Ph: (903) 701-8032 | Lacresha Quwanish Carson, FNP-BC
6213 Ryan Creek Rd,
Ft Worth, TX 76179-7727
Ph: (903) 701-8032 |
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