Georgina Aka Fomenky, in Fort Worth, TX - Medicare Registered Nurse

Georgina Aka Fomenky, is a medicare enrolled "Registered Nurse" in Fort Worth, Texas. Her current practice location is 6138 Walraven Cir Ste 100, Fort Worth, Texas. You can reach out to her office (for appointments etc.) via phone at (904) 536-1467.

Georgina Aka Fomenky is licensed to practice in Texas (license number 800512) 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 1154943686.

Contact Information

	Georgina Aka Fomenky,
	6138 Walraven Cir Ste 100, Fort Worth, TX 76133-2769
	(904) 536-1467
	Not Available

Map and Direction

Provider's Profile

Full Name	Georgina Aka Fomenky
Gender	Female
Speciality	Registered Nurse
Location	6138 Walraven Cir Ste 100, Fort Worth, Texas
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1154943686
Provider Enumeration Date: 05/06/2020
Last Update Date: 05/06/2020

Medicare PECOS Information:

PECOS PAC ID: 6507240637
Enrollment ID: I20220908001649

Medical Identifiers

Medical identifiers for Georgina Aka Fomenky such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1154943686	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
163W00000X	Registered Nurse	800512 (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. Georgina Aka Fomenky allows following entities to bill medicare on her behalf.

Entity Name	Odette Louise Campbell, Md, Pa
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1366750325 PECOS PAC ID: 9335301829 Enrollment ID: O20120430000114

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. Georgina Aka Fomenky 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
Georgina Aka Fomenky, 6138 Walraven Cir Ste 100, Fort Worth, TX 76133-2769 Ph: (904) 536-1467	Georgina Aka Fomenky, 6138 Walraven Cir Ste 100, Fort Worth, TX 76133-2769 Ph: (904) 536-1467

Reviews and Comments

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Georgina Aka Fomenky, - Medicare Registered Nurse in Fort Worth, TX