Nancy Ekuka Tabot, FNP in Fort Worth, TX - Medicare Nurse Practitioner

Nancy Ekuka Tabot, FNP is a medicare enrolled "Nurse Practitioner - Family" in Fort Worth, Texas. Her current practice location is 8520 Gatlinburg Dr, Fort Worth, Texas. You can reach out to her office (for appointments etc.) via phone at (720) 366-4039.

Nancy Ekuka Tabot is licensed to practice in Texas (license number AP144312) 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 1902443062.

Contact Information

	Nancy Ekuka Tabot, FNP
	8520 Gatlinburg Dr, Fort Worth, TX 76123-1744
	(720) 366-4039
	Not Available

Map and Direction

Provider's Profile

Full Name	Nancy Ekuka Tabot
Gender	Female
Speciality	Nurse Practitioner - Family
Location	8520 Gatlinburg Dr, 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: 1902443062
Provider Enumeration Date: 12/06/2019
Last Update Date: 02/27/2020

Medicare PECOS Information:

PECOS PAC ID: 7810311065
Enrollment ID: I20200721001418

Medical Identifiers

Medical identifiers for Nancy Ekuka Tabot such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1902443062	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	AP144312 (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. Nancy Ekuka Tabot allows following entities to bill medicare on her behalf.

Entity Name	Alegis Care - Texas Pa
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1023607850 PECOS PAC ID: 7618369513 Enrollment ID: O20220127000559

Entity Name	Evernorth Care Providers - Delaware Pa
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1033981097 PECOS PAC ID: 6002217973 Enrollment ID: O20240206004349

Entity Name	Bellehaven Care Pllc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1568214997 PECOS PAC ID: 2466891155 Enrollment ID: O20240415000614

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. Nancy Ekuka Tabot 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
Nancy Ekuka Tabot, FNP 3001 Saint Lynda Dr, Mansfield, TX 76063-4857 Ph: (817) 687-9138	Nancy Ekuka Tabot, FNP 8520 Gatlinburg Dr, Fort Worth, TX 76123-1744 Ph: (720) 366-4039

Reviews and Comments

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Nancy Ekuka Tabot, FNP - Medicare Nurse Practitioner in Fort Worth, TX