Mrs Tanita Breyannen Denae Butler, FNP-C in Mansfield, TX

Mrs Tanita Breyannen Denae Butler, FNP-C is a medicare enrolled "Nurse Practitioner - Family" in Mansfield, Texas. Her current practice location is 2200 Matlock Rd, Mansfield, Texas. You can reach out to her office (for appointments etc.) via phone at (817) 453-0267.

Mrs Tanita Breyannen Denae Butler is licensed to practice in Texas (license number 1080257) 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 1073773545.

Contact Information

	Mrs Tanita Breyannen Denae Butler, FNP-C
	2200 Matlock Rd, Mansfield, TX 76063-3855
	(817) 453-0267
	Not Available

Map and Direction

Provider's Profile

Full Name	Mrs Tanita Breyannen Denae Butler
Gender	Female
Speciality	Nurse Practitioner - Family
Location	2200 Matlock Rd, Mansfield, Texas
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1073773545
Provider Enumeration Date: 06/10/2008
Last Update Date: 08/05/2022

Medicare PECOS Information:

PECOS PAC ID: 5092148502
Enrollment ID: I20191213000209

Medical Identifiers

Medical identifiers for Mrs Tanita Breyannen Denae Butler such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1073773545	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	95011803 (California)	Secondary
363LF0000X	Nurse Practitioner - Family	1080257 (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 Tanita Breyannen Denae Butler allows following entities to bill medicare on her behalf.

Entity Name	Minuteclinic Diagnostic Medical Group Of California Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1033309372 PECOS PAC ID: 8224191374 Enrollment ID: O20090115000289

Entity Name	Minuteclinic Diagnostic Medical Group Of San Diego Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1568659233 PECOS PAC ID: 2567520414 Enrollment ID: O20090127000249

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 Tanita Breyannen Denae Butler 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 Tanita Breyannen Denae Butler, FNP-C 2200 Matlock Rd, Mansfield, TX 76063-3855 Ph: (817) 453-0267	Mrs Tanita Breyannen Denae Butler, FNP-C 2200 Matlock Rd, Mansfield, TX 76063-3855 Ph: (817) 453-0267

Reviews and Comments

Nurse Practitioner Nurses in Mansfield, TX

Kimberly Ann Garza, PMHNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2401 Callender Rd Ste 105, Mansfield, TX 76063 Phone: 817-286-3212
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Ms. Courtney Miller, APRN-CNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1707 Clover Hill Rd, Mansfield, TX 76063 Phone: 817-456-8798
Mr. Laurence A. Gadbois Jr., FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2303 Lockshire Dr, Mansfield, TX 76063 Phone: 682-225-0319
Sherri Kirschbaum, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1720 E Broad St, Mansfield, TX 76063 Phone: 817-453-5912
Mrs. Linda Gail Langston, RNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2800 E Broad Street Suite 400, Mansfield, TX 76063 Phone: 817-477-9292
Mr. Ankit R Parikh, ARNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2700 E Broad St, Mansfield, TX 76063 Phone: 682-242-2000

Mrs Tanita Breyannen Denae Butler, FNP-C - Medicare Nurse Practitioner in Mansfield, TX