Mrs Ethel Olivia King, FNP is a medicare enrolled "Nurse Practitioner - Family" in Big Lake, Texas. Her current practice location is
1300 N Main, Big Lake, Texas. You can reach out to her office (for appointments etc.) via phone at
(325) 884-2561.
Mrs Ethel Olivia King is licensed to practice in Texas (license number F1012361) 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 1932443835.
Provider's Profile
| Full Name | Mrs Ethel Olivia King |
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| Gender | Female |
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| Speciality | Nurse Practitioner - Family |
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| Location | 1300 N Main, Big Lake, 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: 1932443835
- Provider Enumeration Date: 11/15/2012
- Last Update Date: 05/28/2019
Medicare PECOS Information:
- PECOS PAC ID: 0648414979
- Enrollment ID: I20130926000226
Medical Identifiers
Medical identifiers for Mrs Ethel Olivia King such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1932443835 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 363LF0000X | Nurse Practitioner - Family | F1012361 (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. Mrs Ethel Olivia King allows following entities to bill medicare on her behalf.
| Entity Name | Nextcare Primary Care Tx Pllc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1760875025
PECOS PAC ID: 0840501508
Enrollment ID: O20150622001791 |
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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. Mrs Ethel Olivia King 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 |
|---|
Mrs Ethel Olivia King, FNP
1300 N Main,
Big Lake, TX 76932
Ph: (325) 884-2561 | Mrs Ethel Olivia King, FNP
1300 N Main,
Big Lake, TX 76932
Ph: (325) 884-2561 |
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