Pete C Bravo Jr, FNP in Southlake, TX - Medicare Nurse Practitioner

Pete C Bravo Jr, FNP is a medicare enrolled "Nurse Practitioner" in Southlake, Texas. His current practice location is 2777 E Southlake Blvd Ste 140, Southlake, Texas. You can reach out to his office (for appointments etc.) via phone at (817) 686-8104.

Pete C Bravo Jr is licensed to practice in Texas (license number AP140592) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1073079216.

Contact Information

	Pete C Bravo Jr, FNP
	2777 E Southlake Blvd Ste 140, Southlake, TX 76092-8017
	(817) 686-8104
	Not Available

Map and Direction

Provider's Profile

Full Name	Pete C Bravo Jr
Gender	Male
Speciality	Nurse Practitioner
Location	2777 E Southlake Blvd Ste 140, Southlake, Texas
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1073079216
Provider Enumeration Date: 02/12/2019
Last Update Date: 01/13/2020

Medicare PECOS Information:

PECOS PAC ID: 2769723782
Enrollment ID: I20190401000918

Medical Identifiers

Medical identifiers for Pete C Bravo Jr such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1073079216	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LP2300X	Nurse Practitioner - Primary Care	AP140592 (Texas)	Secondary
363L00000X	Nurse Practitioner	AP140592 (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. Pete C Bravo Jr allows following entities to bill medicare on his behalf.

Entity Name	Texas Phlebology Pa
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1730450115 PECOS PAC ID: 3476719493 Enrollment ID: O20120719000196

Entity Name	Dispatchhealth-texas P A
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1649787896 PECOS PAC ID: 5395006035 Enrollment ID: O20180221000735

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. Pete C Bravo Jr 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
Pete C Bravo Jr, FNP 2001 Butterfield Rd, Ste 300, Downers Grove, IL 60515-1069 Ph: (630) 725-2700	Pete C Bravo Jr, FNP 2777 E Southlake Blvd Ste 140, Southlake, TX 76092-8017 Ph: (817) 686-8104

Reviews and Comments

Nurse Practitioner Nurses in Southlake, TX

Carmen Santiago, APRN-CNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1110 N Carroll Ave, Southlake, TX 76092 Phone: 817-310-1100 Fax: 817-310-1197
Nikita Greenwood, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1920 E State Highway 114, Southlake, TX 76092 Phone: 817-442-5698
Janice F Rubbelke, FNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 601 E Southlake Blvd, Suite 200, Southlake, TX 76092 Phone: 817-488-1956 Fax: 817-488-8675
Mona Lisa Jimenez, PMHNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 431 E State Highway 114 Fl 1, Southlake, TX 76092 Phone: 844-824-8775
Britney Molini, APRN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1050 E State Highway 114 Ste 100, Southlake, TX 76092 Phone: 817-329-8364
Heather Mendoza, PMHNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 431 E State Highway 114 Fl 1, Southlake, TX 76092 Phone: 844-824-8775

Pete C Bravo Jr, FNP - Medicare Nurse Practitioner in Southlake, TX