Kari Groth, FNP is a medicare enrolled "Nurse Practitioner - Family" in Dfw Airport, Texas. Her current practice location is
1616 W. 21st Street, 1135 A-39, Dfw Airport, Texas. You can reach out to her office (for appointments etc.) via phone at
(972) 425-7295.
Kari Groth is licensed to practice in Texas (license number 723179) 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 1619301637.
Provider's Profile
| Full Name | Kari Groth |
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| Gender | Female |
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| Speciality | Nurse Practitioner - Family |
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| Location | 1616 W. 21st Street, 1135 A-39, Dfw Airport, Texas |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1619301637
- Provider Enumeration Date: 08/27/2013
- Last Update Date: 05/22/2018
Medicare PECOS Information:
- PECOS PAC ID: 2961630298
- Enrollment ID: I20140114000454
Medical Identifiers
Medical identifiers for Kari Groth such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1619301637 | NPI | - | NPPES |
| 329103102 | Medicaid | TX | |
| 329103101 | Medicaid | TX | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 363LF0000X | Nurse Practitioner - Family | 723179 (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. Kari Groth allows following entities to bill medicare on her behalf.
| Entity Name | Healthtexas Provider Network |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1760488936
PECOS PAC ID: 1355254210
Enrollment ID: O20040727001187 |
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| Entity Name | Integrative Emergency Services Physician Group Pa |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1285922542
PECOS PAC ID: 0749447936
Enrollment ID: O20120130000932 |
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| Entity Name | Dispatchhealth-texas P A |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1649787896
PECOS PAC ID: 5395006035
Enrollment ID: O20180221000735 |
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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. Kari Groth 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 |
|---|
Kari Groth, FNP
1500 S Main St,
Fort Worth, TX 76104-4917
Ph: (817) 692-7200 | Kari Groth, FNP
1616 W. 21st Street, 1135 A-39,
Dfw Airport, TX 75261
Ph: (972) 425-7295 |
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