Lola Renae Earley, MSN, FNP-C in Fort Worth, TX

Lola Renae Earley, MSN, FNP-C is a medicare enrolled "Nurse Practitioner - Family" in Fort Worth, Texas. Her current practice location is 816 W Cannon St, Fort Worth, Texas. You can reach out to her office (for appointments etc.) via phone at (817) 321-0404.

Lola Renae Earley is licensed to practice in Texas (license number AP136043) 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 1871009613.

Contact Information

	Lola Renae Earley, MSN, FNP-C
	816 W Cannon St, Fort Worth, TX 76104-3194
	(817) 321-0404
	Not Available

Map and Direction

Provider's Profile

Full Name	Lola Renae Earley
Gender	Female
Speciality	Nurse Practitioner - Family
Location	816 W Cannon St, 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: 1871009613
Provider Enumeration Date: 12/15/2017
Last Update Date: 08/26/2022

Medicare PECOS Information:

PECOS PAC ID: 3577824549
Enrollment ID: I20180308000756

Medical Identifiers

Medical identifiers for Lola Renae Earley such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1871009613	NPI	-	NPPES
1871009613	Medicaid	TX

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	AP136043 (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. Lola Renae Earley allows following entities to bill medicare on her behalf.

Entity Name	Radiology Associates Of North Texas Pa
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1053470179 PECOS PAC ID: 7911897301 Enrollment ID: O20040617000531

Entity Name	Navarro Emergency Physicians Pllc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1851523252 PECOS PAC ID: 1254487861 Enrollment ID: O20090923000744

Entity Name	Clinical Care In Radiology
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1578331393 PECOS PAC ID: 8729429592 Enrollment ID: O20240510000224

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. Lola Renae Earley 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
Lola Renae Earley, MSN, FNP-C 816 W Cannon St, Fort Worth, TX 76104-3194 Ph: (817) 321-0404	Lola Renae Earley, MSN, FNP-C 816 W Cannon St, Fort Worth, TX 76104-3194 Ph: (817) 321-0404

Reviews and Comments

Nurse Practitioner Nurses in Fort Worth, TX

Mrs. Amy Michelle Medalie, NP Nurse Practitioner Medicare: Not Enrolled in Medicare 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
Lacy Pitchford, CPNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1263 W Rosedale St Ste 200, Fort Worth, TX 76104 Phone: 817-336-4896 Fax: 817-332-2805

Lola Renae Earley, MSN, FNP-C - Medicare Nurse Practitioner in Fort Worth, TX