Lake Worth Minor Emergency - Medicare Primary Care in Fort Worth, TX

Lake Worth Minor Emergency is a medicare enrolled primary clinic (Family Medicine) in Fort Worth, Texas. The current practice location for Lake Worth Minor Emergency is 6302 Jacksboro Hwy Ste A, Fort Worth, Texas. For appointments, you can reach them via phone at (817) 237-8273. The mailing address for Lake Worth Minor Emergency is 6302 Jacksboro Hwy Ste A, Fort Worth, Texas and phone number is (817) 237-8273.

Lake Worth Minor Emergency is licensed to practice in Texas (license number F9351). The clinic also participates in the medicare program and its NPI number is 1215217229. 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 (817) 237-8273.

Contact Information

Lake Worth Minor Emergency
6302 Jacksboro Hwy Ste A
Fort Worth
TX 76135-3607
(817) 237-8273
(817) 237-0374

Map and Direction


Primary Care Clinic Profile

Full NameLake Worth Minor Emergency
SpecialityFamily Medicine
Location6302 Jacksboro Hwy Ste A, Fort Worth, Texas
Authorized Official Name and PositionGlenda Wright (MANAGER)
Authorized Official Contact8172378273
Accepts Medicare InsuranceYes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Lake Worth Minor Emergency
6302 Jacksboro Hwy Ste A
Fort Worth
TX 76135-3607

Ph: (817) 237-8273
Lake Worth Minor Emergency
6302 Jacksboro Hwy Ste A
Fort Worth
TX 76135-3607

Ph: (817) 237-8273

NPI Details:

NPI Number1215217229
Provider Enumeration Date08/22/2011
Last Update Date10/17/2011

Medicare PECOS Information:

Medicare PECOS PAC ID0547432262
Medicare Enrollment IDO20110930000285

Medical Identifiers

Medical identifiers for Lake Worth Minor Emergency such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1215217229NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine F9351 (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. Lake Worth Minor Emergency acts as a billing entity for following providers:
Provider NameJerry T Davis
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1821179003
PECOS PAC ID: 9133391071
Enrollment ID: I20111116000702

Reviews and Comments


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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.