Blanca Lizzeth Gutierrez, - Medicare Nurse Practitioner in Wichita Falls, TX

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Blanca Lizzeth Gutierrez, is a medicare enrolled "Nurse Practitioner - Family" in Wichita Falls, Texas. Her current practice location is 901 Indiana Ave Ste 665, Wichita Falls, Texas. You can reach out to her office (for appointments etc.) via phone at (940) 432-0588.

Blanca Lizzeth Gutierrez is licensed to practice in Texas (license number 1001623) 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 1356025415.

Contact Information

Blanca Lizzeth Gutierrez,
901 Indiana Ave Ste 665,
Wichita Falls, TX 76301-6718
(940) 432-0588
Not Available

Map and Direction




Provider's Profile

Full NameBlanca Lizzeth Gutierrez
GenderFemale
SpecialityNurse Practitioner - Family
Location901 Indiana Ave Ste 665, Wichita Falls, Texas
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1356025415
  • Provider Enumeration Date: 06/09/2023
  • Last Update Date: 04/11/2024
  Medicare PECOS Information:
  • PECOS PAC ID: 5092177816
  • Enrollment ID: I20230810003268

Medical Identifiers

Medical identifiers for Blanca Lizzeth Gutierrez such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1356025415NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LF0000XNurse Practitioner - Family 1001623 (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. Blanca Lizzeth Gutierrez allows following entities to bill medicare on her behalf.
Entity NameNorth Central Texas Community Health Care Center Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1255324141
PECOS PAC ID: 9931099215
Enrollment ID: O20040318001674
Entity NameConcord Medical Group Of Texas Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1750790762
PECOS PAC ID: 7810117223
Enrollment ID: O20141007002567
Entity NameLittle Black Bag House Calls Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1376078881
PECOS PAC ID: 2163794629
Enrollment ID: O20170817001749
Entity NameHealing Hands Healthcare
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1457722449
PECOS PAC ID: 3971895665
Enrollment ID: O20201013001390
Entity NameRevive Global Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1497576219
PECOS PAC ID: 5395273429
Enrollment ID: O20250116002360

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. Blanca Lizzeth Gutierrez 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 AddressPractice Location Address
Blanca Lizzeth Gutierrez,
200 Mlk Jr Blvd,
Wichita Falls, TX 76301-1152

Ph: () -		Blanca Lizzeth Gutierrez,
901 Indiana Ave Ste 665,
Wichita Falls, TX 76301-6718

Ph: (940) 432-0588

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.