BE WELL PRIMARY CARE MEDICINE PLLC – Primary Care Clinic/Center, NPI 1447774344
Primary Care Clinic/Center
Main info
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for BE WELL PRIMARY CARE MEDICINE PLLC
721 Southeast Pkwy
Azle, TX 760203634
Phone: (682) 593-6660
Type: Location
3200 Colorado Blvd Ste 202
Denton, TX 762106876
Phone: (940) 600-5311
Fax: (888) 494-2325
Type: Location
Sheldon Drive, Trophy Club, Denton County, Texas, United States
TROPHY CLUB, TX 762621800
Phone: (817) 800-9102
Type: Mailing
3800 N TARRANT PKWY STE 210
FORT WORTH, TX 762445416
Phone: (682) 593-6660
Type: Mailing
3800, North Tarrant Parkway, Fort Worth, Tarrant County, Texas, 76244, United States
SUITE 210
FORT WORTH, TX 76244
Phone: (682) 593-6660
Fax: (888) 289-2380
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2017-12-18
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Past revalidation due date
Earliest CMS due date was 2026-04-30 (38 days ago).
Enrollment records
1
Earliest due date
2026-04-30
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| O20171218003203 | O | Clinic/Group Practice | TX | 2026-04-30 |
What to do next
- Verify current status on the CMS Revalidation Lookup Tool immediately.
- Complete revalidation in PECOS or contact your Medicare Administrative Contractor (MAC).
- Overdue revalidation can lead to deactivation of Medicare billing privileges.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 76020)
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