| Whitney Chase, CPNP-AC | |
|
801 7th Ave, Fort Worth, TX 76104-2733 | |
| (682) 885-4193 | |
| (682) 885-7956 |
| Full Name | Whitney Chase |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner - Pediatrics, Critical Care |
| Location | 801 7th Ave, Fort Worth, Texas |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1528377439 | NPI | - | NPPES |
| 280315702 | Medicaid | TX | |
| 280315703 | Other | TX | CSHCN |
| 61802735 | Medicaid | CO |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LP0200X | Nurse Practitioner - Pediatrics | 990030 (Colorado) | Secondary |
| 363LP0222X | Nurse Practitioner - Pediatrics, Critical Care | 1850 (Texas) | Primary |
| Entity Name | St Lukes Clinic-treasure Valley LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1326336058 PECOS PAC ID: 4981878402 Enrollment ID: O20111119000045 |
| Mailing Address | Practice Location Address |
|---|---|
| Whitney Chase, CPNP-AC Po Box 99371, Fort Worth, TX 76199-0371 Ph: (682) 885-1855 | Whitney Chase, CPNP-AC 801 7th Ave, Fort Worth, TX 76104-2733 Ph: (682) 885-4193 |
Mrs. Amy Michelle Medalie, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 4405 River Oaks Blvd, Fort Worth, TX 76114 Phone: 817-624-1770 Fax: 817-625-1287 |
Annette Diane Williamson, ARNP, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2205 N Tarrant Pkwy, Fort Worth, TX 76177 Phone: 817-328-3320 Fax: 817-328-3325 |
Valerie Elise Ward, RN, CPNP-PC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2755 Miller Ave, Fort Worth, TX 76105 Phone: 817-534-7110 Fax: 817-413-0521 |
Elisa Martinez Morrison, FNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1711 Doolittle Ave, Fort Worth, TX 76127 Phone: 817-782-6223 |
Maria Sybil Gagliano, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 6000 Bryant Irvin Rd, Fort Worth, TX 76132 Phone: 866-389-2727 |
Kristi E Tucker, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 801 7th Ave, Fort Worth, TX 76104 Phone: 682-885-1475 Fax: 682-885-7520 |
Mrs. Anjanette Ostrom, AGACNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 6100 Harris Pkwy, Fort Worth, TX 76132 Phone: 817-433-5977 Fax: 817-433-5989 |