Mr Alexander Lee Pendergrass, FNP-C - Medicare Nurse Practitioner in Bridgeport, TX

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Mr Alexander Lee Pendergrass, FNP-C is a medicare enrolled "Nurse Practitioner - Family" in Bridgeport, Texas. He graduated from nursing school in 2020 and has 6 years of diverse experience with area of expertise as Nurse Practitioner. He is a member of the group practice Gulf Shoals Pllc and his current practice location is 808 Woodrow Wilson Ray Cir, Bridgeport, Texas. You can reach out to his office (for appointments etc.) via phone at (817) 966-2960.

Mr Alexander Lee Pendergrass is licensed to practice in Texas (license number 1003207) and he also participates in the medicare program. He may accept medicare assignments (which means he may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance) and his NPI Number is 1982212841.

Contact Information

Mr Alexander Lee Pendergrass, FNP-C
808 Woodrow Wilson Ray Cir,
Bridgeport, TX 76426-2061
(817) 966-2960
Not Available

Map and Direction




Provider's Profile

Full NameMr Alexander Lee Pendergrass
GenderMale
SpecialityNurse Practitioner
Experience6 Years
Location808 Woodrow Wilson Ray Cir, Bridgeport, Texas
Accepts Medicare AssignmentsMay be. He may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Mr Alexander Lee Pendergrass graduated from nursing school in 2020
  NPI Data:
  • NPI Number: 1982212841
  • Provider Enumeration Date: 07/16/2020
  • Last Update Date: 07/16/2020
  Medicare PECOS Information:
  • PECOS PAC ID: 5294155263
  • Enrollment ID: I20201013000600

Medical Identifiers

Medical identifiers for Mr Alexander Lee Pendergrass such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1982212841NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LF0000XNurse Practitioner - Family 1003207 (Texas)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Gulf Shoals Pllc06486198333

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. Mr Alexander Lee Pendergrass allows following entities to bill medicare on his behalf.
Entity NameBurnaby Medical Group, LLC
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1104510577
PECOS PAC ID: 2769843259
Enrollment ID: O20230801000005
Entity NameGulf Shoals PLLC
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1497515894
PECOS PAC ID: 0648619833
Enrollment ID: O20240422000299

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. Mr Alexander Lee Pendergrass 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 AddressPractice Location Address
Mr Alexander Lee Pendergrass, FNP-C
3250 River Lodge Trl S Apt 420,
Fort Worth, TX 76116-0830

Ph: (817) 966-2960		Mr Alexander Lee Pendergrass, FNP-C
808 Woodrow Wilson Ray Cir,
Bridgeport, TX 76426-2061

Ph: (817) 966-2960

Reviews and Comments


Nurse Practitioner Nurses in Bridgeport, TX

Whitney Victoria Miller, FNP-C
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 2202 Us Highway 380, Suite #112, Bridgeport, TX 76426
Phone: 940-683-2338    Fax: 940-683-2394
Kaye Puckett, DNP, FNP-BC
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 2202 Us Highway 380 Ste 112, Bridgeport, TX 76426
Phone: 940-683-2338    Fax: 940-683-2394

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.