Allison Lee, - Medicare Nurse Practitioner in Fort Worth, TX

Allison Lee, is a medicare enrolled "Nurse Practitioner - Adult Health" physician in Fort Worth, Texas. Her current practice location is 4701 Boat Club Rd Ste 200, Fort Worth, Texas. You can reach out to her office (for appointments etc.) via phone at (817) 237-0515.

Allison Lee is licensed to practice in Texas (license number AP144004) 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 1225609712.

Contact Information

Allison Lee,
4701 Boat Club Rd Ste 200,
Fort Worth, TX 76135-5285
(817) 237-0515
Not Available



Physician's Profile

Full NameAllison Lee
GenderFemale
SpecialityNurse Practitioner - Adult Health
Location4701 Boat Club Rd Ste 200, Fort Worth, Texas
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1225609712
  • Provider Enumeration Date: 07/06/2021
  • Last Update Date: 08/18/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 8820494511
  • Enrollment ID: I20210903001020

Medical Identifiers

Medical identifiers for Allison Lee such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1225609712NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207QA0505XFamily Medicine - Adult Medicine AP144004 (Texas)Secondary
363LA2200XNurse Practitioner - Adult Health AP144004 (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. Allison Lee allows following entities to bill medicare on her behalf.
Entity NameTexas Health Physicians Group
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1174573596
PECOS PAC ID: 4385535954
Enrollment ID: O20040323000759

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Entity NameD&j Grace Team Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1093062937
PECOS PAC ID: 0143477729
Enrollment ID: O20120904000776

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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. Allison Lee 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 AddressPractice Location Address
Allison Lee,
6251 Oakmont Blvd,
Fort Worth, TX 76132-3119

Ph: (682) 270-5700
Allison Lee,
4701 Boat Club Rd Ste 200,
Fort Worth, TX 76135-5285

Ph: (817) 237-0515

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