Paula M Peterson, FNP in Fort Worth, TX - Medicare Nurse Practitioner

Paula M Peterson, FNP is a medicare enrolled "Nurse Practitioner - Family" in Fort Worth, Texas. Her current practice location is 2919 Markum Dr, Fort Worth, Texas. You can reach out to her office (for appointments etc.) via phone at (817) 831-0321.

Paula M Peterson is licensed to practice in Texas (license number 504482) 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 1568473601.

Contact Information

	Paula M Peterson, FNP
	2919 Markum Dr, Fort Worth, TX 76117-4004
	(817) 831-0321
	(817) 831-3211

Map and Direction

Provider's Profile

Full Name	Paula M Peterson
Gender	Female
Speciality	Nurse Practitioner - Family
Location	2919 Markum 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: 1568473601
Provider Enumeration Date: 08/11/2006
Last Update Date: 09/16/2011

Medicare PECOS Information:

PECOS PAC ID: 7517097223
Enrollment ID: I20100607000478

Medical Identifiers

Medical identifiers for Paula M Peterson such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1568473601	NPI	-	NPPES
45D0703080	Other	TX	GROUP CLIA
TXB110627	Other	TX	GROUP MEDICARE PIN
092104102	Other	TX	GROUP MEDICAID/TPI
092104103	Other	TX	GROUP EPSDT
F057	Other	TX	GROUP MEDICARE
1578514535	Other	TX	GROUP NPI NUMBER

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	504482 (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. Paula M Peterson allows following entities to bill medicare on her behalf.

Entity Name	Texas Health Care Pllc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1477628873 PECOS PAC ID: 7214840867 Enrollment ID: O20031110000388

Entity Name	T & R Clinic A Professional Association
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1578514535 PECOS PAC ID: 8325036320 Enrollment ID: O20040505001824

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. Paula M Peterson 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
Paula M Peterson, FNP 2919 Markum Dr, Fort Worth, TX 76117-4004 Ph: (817) 831-0321	Paula M Peterson, FNP 2919 Markum Dr, Fort Worth, TX 76117-4004 Ph: (817) 831-0321

Reviews and Comments

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Paula M Peterson, FNP - Medicare Nurse Practitioner in Fort Worth, TX