| Alla Havens, FNP-BC | |
|
4900 Boat Club Rd, Fort Worth, TX 76135-1802 | |
| (682) 428-7711 | |
| (817) 238-6291 |
| Full Name | Alla Havens |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 10 Years |
| Location | 4900 Boat Club Rd, Fort Worth, Texas |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1639615347 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | AP133017 (Texas) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Lone Star Cardiovascular Institute, P.l.l.c | 4688106099 | 3 |
| Entity Name | Fort Worth Heart, P.A. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1801939244 PECOS PAC ID: 4082696562 Enrollment ID: O20040607001334 |
| Entity Name | Heart Center of North Texas PA |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1821202581 PECOS PAC ID: 5092798694 Enrollment ID: O20040612000161 |
| Entity Name | Lone Star Cardiovascular Institute, P.l.l.c |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1194550178 PECOS PAC ID: 4688106099 Enrollment ID: O20241010000412 |
| Mailing Address | Practice Location Address |
|---|---|
| Alla Havens, FNP-BC 4900 Boat Club Rd, Fort Worth, TX 76135-1802 Ph: (682) 428-7711 | Alla Havens, FNP-BC 4900 Boat Club Rd, Fort Worth, TX 76135-1802 Ph: (682) 428-7711 |
Mrs. Amy Michelle Medalie, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 4405 River Oaks Blvd, Fort Worth, TX 76114 Phone: 817-624-1770 Fax: 817-625-1287 |
Annette Diane Williamson, ARNP, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2205 N Tarrant Pkwy, Fort Worth, TX 76177 Phone: 817-328-3320 Fax: 817-328-3325 |
Valerie Elise Ward, RN, CPNP-PC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2755 Miller Ave, Fort Worth, TX 76105 Phone: 817-534-7110 Fax: 817-413-0521 |
Elisa Martinez Morrison, FNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1711 Doolittle Ave, Fort Worth, TX 76127 Phone: 817-782-6223 |
Maria Sybil Gagliano, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 6000 Bryant Irvin Rd, Fort Worth, TX 76132 Phone: 866-389-2727 |
Kristi E Tucker, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 801 7th Ave, Fort Worth, TX 76104 Phone: 682-885-1475 Fax: 682-885-7520 |
Mrs. Anjanette Ostrom, AGACNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 6100 Harris Pkwy, Fort Worth, TX 76132 Phone: 817-433-5977 Fax: 817-433-5989 |