| Jesse Juarez, | |
|
900 8th Ave, Fort Worth, TX 76104-3902 | |
| (817) 336-2100 | |
| Not Available |
| Full Name | Jesse Juarez |
|---|---|
| Gender | Male |
| Speciality | Nurse Practitioner |
| Experience | 3 Years |
| Location | 900 8th Ave, Fort Worth, Texas |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1548019490 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LA2100X | Nurse Practitioner - Acute Care | 1160134 (Texas) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Texas Health Huguley Hospital Fort Worth South | Burleson, TX | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Texas Health Physicians Group | 4385535954 | 1364 |
| Pulmonary Critical Care Professionals | 2062884471 | 21 |
| Entity Name | Texas Health Physicians Group |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1174573596 PECOS PAC ID: 4385535954 Enrollment ID: O20040323000759 |
| Entity Name | Fort Worth Lung Clinic PA |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1558655274 PECOS PAC ID: 6204007123 Enrollment ID: O20110923000606 |
| Entity Name | Pulmonary Critical Care Professionals |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1922714179 PECOS PAC ID: 2062884471 Enrollment ID: O20230214000034 |
| Mailing Address | Practice Location Address |
|---|---|
| Jesse Juarez, 900 8th Ave, Forth Worth, TX 76104-4417 Ph: (940) 595-9899 | Jesse Juarez, 900 8th Ave, Fort Worth, TX 76104-3902 Ph: (817) 336-2100 |
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 |