Ivonne Braxton, FNP-BC in Fort Worth, TX - Medicare Nurse Practitioner

Ivonne Braxton, FNP-BC is a medicare enrolled "Nurse Practitioner - Family" in Fort Worth, Texas. Her current practice location is 6115 Camp Bowie Blvd Ste 140, Fort Worth, Texas. You can reach out to her office (for appointments etc.) via phone at (817) 416-5698.

Ivonne Braxton is licensed to practice in Texas (license number 677692) 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 1720374515.

Contact Information

	Ivonne Braxton, FNP-BC
	6115 Camp Bowie Blvd Ste 140, Fort Worth, TX 76116-5500
	(817) 416-5698
	(817) 416-5699

Map and Direction

Provider's Profile

Full Name	Ivonne Braxton
Gender	Female
Speciality	Nurse Practitioner - Family
Location	6115 Camp Bowie Blvd Ste 140, 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: 1720374515
Provider Enumeration Date: 06/21/2011
Last Update Date: 06/16/2020

Medicare PECOS Information:

PECOS PAC ID: 0143741454
Enrollment ID: I20250303003157

Medical Identifiers

Medical identifiers for Ivonne Braxton such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1720374515	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	677692 (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. Ivonne Braxton allows following entities to bill medicare on her behalf.

Entity Name	Low T Mens Clinic Lp
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1053670257 PECOS PAC ID: 8325569635 Enrollment ID: O20250303003092

Entity Name	Low Testosterone Mens Clinic Fw Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1063895985 PECOS PAC ID: 3072031574 Enrollment ID: O20250519002081

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. Ivonne Braxton 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
Ivonne Braxton, FNP-BC 1900 Kingsbridge Ln, Keller, TX 76262-4908 Ph: (956) 650-0186	Ivonne Braxton, FNP-BC 6115 Camp Bowie Blvd Ste 140, Fort Worth, TX 76116-5500 Ph: (817) 416-5698

Reviews and Comments

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Ivonne Braxton, FNP-BC - Medicare Nurse Practitioner in Fort Worth, TX