Evernorth Care Providers - Delaware Pa - Medicare Primary Care in Irving, TX

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Evernorth Care Providers - Delaware Pa is a medicare enrolled primary clinic (General Practice) in Irving, Texas. The current practice location for Evernorth Care Providers - Delaware Pa is 320 Decker Dr, Irving, Texas. For appointments, you can reach them via phone at (773) 292-4800. The mailing address for Evernorth Care Providers - Delaware Pa is 730 Cool Springs Blvd Ste 500, Franklin, Tennessee and phone number is (773) 292-4800.

Evernorth Care Providers - Delaware Pa is licensed to practice in * (Not Available) (license number ). The clinic also participates in the medicare program and its NPI number is 1033981097. This medical practice accepts medicare insurance (which means this clinic accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance). However, please confirm if they accept your insurance at (773) 292-4800.

Contact Information

Evernorth Care Providers - Delaware Pa
320 Decker Dr
Irving
TX 75062-3999
(773) 292-4800
(312) 564-4059

Map and Direction


Primary Care Clinic Profile

Full NameEvernorth Care Providers - Delaware Pa
SpecialityGeneral Practice
Location320 Decker Dr, Irving, Texas
Authorized Official Name and PositionGrace Blue (CREDENTIALING SR. MANAGER)
Authorized Official Contact7732924800
Accepts Medicare InsuranceYes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Evernorth Care Providers - Delaware Pa
730 Cool Springs Blvd Ste 500
Franklin
TN 37067-7331

Ph: (773) 292-4800		Evernorth Care Providers - Delaware Pa
320 Decker Dr
Irving
TX 75062-3999

Ph: (773) 292-4800

NPI Details:

NPI Number1033981097
Provider Enumeration Date10/24/2023
Last Update Date11/17/2023

Medicare PECOS Information:

Medicare PECOS PAC ID6002217973
Medicare Enrollment IDO20240206004349

Medical Identifiers

Medical identifiers for Evernorth Care Providers - Delaware Pa such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1033981097NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
208D00000XGeneral Practice (* (Not Available))Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Evernorth Care Providers - Delaware Pa acts as a billing entity for following providers:
Provider NameJolene Sonnier Hanzik
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1720139314
PECOS PAC ID: 4183639149
Enrollment ID: I20060213000134
Provider NameSharon Harrison
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1316014822
PECOS PAC ID: 4385714146
Enrollment ID: I20080605000134
Provider NameMelanie M Schneidmiller
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1083852347
PECOS PAC ID: 9335287762
Enrollment ID: I20091105000181
Provider NameNancy G Boone
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1750517512
PECOS PAC ID: 9638294895
Enrollment ID: I20100913000507
Provider NameLindsay A Valle
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1134409261
PECOS PAC ID: 3577737865
Enrollment ID: I20111123000170
Provider NameCharity Mugadza
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1568715514
PECOS PAC ID: 6800040957
Enrollment ID: I20130125000451
Provider NameCharlotte Isah
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1366883035
PECOS PAC ID: 2466686860
Enrollment ID: I20131017000753
Provider NameRose Murff
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1407144306
PECOS PAC ID: 5294958658
Enrollment ID: I20140603002435
Provider NameMiranda N Sims
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1588058259
PECOS PAC ID: 5698093722
Enrollment ID: I20150421001276
Provider NameThelma I Arzu
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1750788782
PECOS PAC ID: 9133440365
Enrollment ID: I20150601000171
Provider NameElisabeth Buchanan
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1356618748
PECOS PAC ID: 4789828526
Enrollment ID: I20150729009442
Provider NameBridie Mwaiki Yalala
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1104213800
PECOS PAC ID: 0345340170
Enrollment ID: I20150908001036
Provider NameKaren Sue Farnum
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1487039087
PECOS PAC ID: 4385950252
Enrollment ID: I20150909000491
Provider NameChrystal L Pena
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1699155689
PECOS PAC ID: 2860709748
Enrollment ID: I20150910001220
Provider NameWashington O Mitema
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1154709798
PECOS PAC ID: 4385952530
Enrollment ID: I20151007002723
Provider NameJernae F Bijou
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1518362896
PECOS PAC ID: 8729397682
Enrollment ID: I20151016001125
Provider NameGermaine N Tezano
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1396114708
PECOS PAC ID: 4789985763
Enrollment ID: I20151216001325
Provider NameTammy Danise Smith
Provider TypePractitioner - Certified Clinical Nurse Specialist (cns)
Provider IdentifiersNPI Number: 1841675253
PECOS PAC ID: 8527369040
Enrollment ID: I20151228002268
Provider NameWaylon C Bergeron
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1306209721
PECOS PAC ID: 5799084000
Enrollment ID: I20160506001976
Provider NameMercy Olumuyiwa
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1598129504
PECOS PAC ID: 4082903620
Enrollment ID: I20160520000355
Provider NameRafael Gonzalez
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1902265788
PECOS PAC ID: 0345530747
Enrollment ID: I20160525003050
Provider NameJulia Holcombe
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1174908974
PECOS PAC ID: 2567755101
Enrollment ID: I20160720000941
Provider NameSusan Jacob
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1821468257
PECOS PAC ID: 3375853054
Enrollment ID: I20160921000937
Provider NameKelli N Rollins
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1538608971
PECOS PAC ID: 6305120312
Enrollment ID: I20170310000577
Provider NamePeter Chan
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1649637489
PECOS PAC ID: 7618252958
Enrollment ID: I20170328002245
Provider NameAbiola Atobatele
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1164971453
PECOS PAC ID: 0749550606
Enrollment ID: I20170725004036
Provider NameNorma Linda Cantu-castaneda
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1043743750
PECOS PAC ID: 5991065963
Enrollment ID: I20180213000316
Provider NameErica Y Meeks
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1316458805
PECOS PAC ID: 7517222698
Enrollment ID: I20180518001190
Provider NameLauren B Cordell
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1518353812
PECOS PAC ID: 9931420643
Enrollment ID: I20180521000915
Provider NameCandace Breaux
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1366676132
PECOS PAC ID: 2264784586
Enrollment ID: I20181015000300
Provider NameRene R Gonzalez
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1538630355
PECOS PAC ID: 8921343435
Enrollment ID: I20190102001429
Provider NameCourtney E Clifton
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1396212437
PECOS PAC ID: 7911243431
Enrollment ID: I20190103002834
Provider NameRhonda K Munoz
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1376017301
PECOS PAC ID: 6901147438
Enrollment ID: I20190411000282
Provider NameKenyatta Robinson
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1417452889
PECOS PAC ID: 4587098132
Enrollment ID: I20200107002009
Provider NameDaniella Simona Ytuarte
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1194360685
PECOS PAC ID: 1456789296
Enrollment ID: I20200310001548
Provider NamePamela Gamble
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1902454986
PECOS PAC ID: 1456782424
Enrollment ID: I20200506001941
Provider NameNancy E Tabot
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1902443062
PECOS PAC ID: 7810311065
Enrollment ID: I20200721001418
Provider NameChristina Campbell
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1881166940
PECOS PAC ID: 7113343872
Enrollment ID: I20200812003135
Provider NameAmber D Warner
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1588275853
PECOS PAC ID: 4880847367
Enrollment ID: I20200825003005
Provider NameAdetutu Aina
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1710317680
PECOS PAC ID: 8820317829
Enrollment ID: I20200930001470
Provider NameThresa D Lawson
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1851593107
PECOS PAC ID: 7810308145
Enrollment ID: I20201118000137
Provider NameTammy Womack
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1144850637
PECOS PAC ID: 8628489788
Enrollment ID: I20201120000072
Provider NameAnastansia Monayo Ratemo
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1922658442
PECOS PAC ID: 2466852611
Enrollment ID: I20210610000737
Provider NameBreana Jackson
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1912504176
PECOS PAC ID: 3173923232
Enrollment ID: I20210610001313
Provider NameAlejandra Flores
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1891395133
PECOS PAC ID: 9638579147
Enrollment ID: I20210621000302
Provider NameOlateju Ishola
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1063086122
PECOS PAC ID: 7416358981
Enrollment ID: I20210622003044
Provider NameJeannette K George
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1043987753
PECOS PAC ID: 2668878125
Enrollment ID: I20210908002721
Provider NameTeresa Alonzo
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1194487934
PECOS PAC ID: 4981099124
Enrollment ID: I20220324002034
Provider NameShanedra Rachelle Davis
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1477825099
PECOS PAC ID: 5597150623
Enrollment ID: I20220328000699
Provider NameMuhammad Aftkhar
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1386392249
PECOS PAC ID: 7911392055
Enrollment ID: I20220328000873
Provider NameRosemary Mbam
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1477858397
PECOS PAC ID: 1052707577
Enrollment ID: I20220411001275
Provider NameRamiro Delbosque
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1144851882
PECOS PAC ID: 4880077981
Enrollment ID: I20220823002406
Provider NameTemitope Ojo
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1992205876
PECOS PAC ID: 5395118574
Enrollment ID: I20230309000838
Provider NameRobin M Tobin
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1790388015
PECOS PAC ID: 2961876438
Enrollment ID: I20230323002325
Provider NameAshley Marie De La Fuente
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1053021105
PECOS PAC ID: 3476928680
Enrollment ID: I20230331000283
Provider NameKrystal Aileen Perez Franco
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1770299034
PECOS PAC ID: 5799150876
Enrollment ID: I20230403000544
Provider NameBairat Shasi
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1770021230
PECOS PAC ID: 6002149796
Enrollment ID: I20230404001950
Provider NameMalaya Deemer
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1629531900
PECOS PAC ID: 5991030728
Enrollment ID: I20230502001325
Provider NameJanis Correa
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1659906683
PECOS PAC ID: 3971960436
Enrollment ID: I20230530000579
Provider NameDora Tirado
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1740846211
PECOS PAC ID: 3870929599
Enrollment ID: I20230605003342
Provider NameJoy Onyeugwor
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1457058554
PECOS PAC ID: 7618334715
Enrollment ID: I20230606000139
Provider NameFelicia Marie Ward
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1366156754
PECOS PAC ID: 3577920545
Enrollment ID: I20230606003449
Provider NamePamela Renee White
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1962174565
PECOS PAC ID: 6800255472
Enrollment ID: I20230630000307
Provider NameNancy W Kiarie
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1356038079
PECOS PAC ID: 1153780515
Enrollment ID: I20230702000037
Provider NameVeronica Gaytan
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1609564202
PECOS PAC ID: 4688036890
Enrollment ID: I20230818001684
Provider NameSanta Badeg Sisay
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1033857073
PECOS PAC ID: 2668826223
Enrollment ID: I20230929003060
Provider NameVeleen V Simms
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1780742734
PECOS PAC ID: 1254786387
Enrollment ID: I20231010003106
Provider NameJanja Matic
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1336648757
PECOS PAC ID: 4082061262
Enrollment ID: I20231109000850
Provider NameJorge Pena
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1407563844
PECOS PAC ID: 6709257447
Enrollment ID: I20231125000207

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Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.