- Medicare in Fort Worth, TX

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is a medicare enrolled "Family Medicine" provider in Fort Worth, Texas. Their current practice location is 5521 Bellaire Dr S Ste 110, Fort Worth, Texas. You can reach out to their office (for appointments etc.) via phone at (817) 926-9642.

is licensed to practice in * (Not Available) (license number ) and it also participates in the medicare program. is enrolled with medicare and should accept medicare assignments and since they are enrolled in medicare, they may order Medicare Part D Prescription drugs, if eligible. The facility's NPI Number is 1124742580.

Contact Information

5521 Bellaire Dr S Ste 110,
Fort Worth, TX 76109-5855
(817) 926-9642
(817) 926-1865

Map and Direction




Healthcare Provider's Profile

Full Name
TypeFacility
SpecialityFamily Medicine
Location5521 Bellaire Dr S Ste 110, Fort Worth, Texas
Accepts Medicare AssignmentsMedicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1124742580
  • Provider Enumeration Date: 09/29/2022
  • Last Update Date: 08/28/2024
  Medicare PECOS Information:
  • PECOS PAC ID: 7517338221
  • Enrollment ID: O20230117001112

Medical Identifiers

Medical identifiers for such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1124742580NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
111N00000XChiropractor (* (Not Available))Secondary
207Q00000XFamily Medicine (* (Not Available))Primary
208D00000XGeneral Practice (* (Not Available))Secondary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. acts as a billing entity for following providers:
Provider NamePatricia A Irizarry
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1780865675
PECOS PAC ID: 3870563505
Enrollment ID: I20040729000349
Provider NameRowena J Maclin
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1316936941
PECOS PAC ID: 2668405481
Enrollment ID: I20050913000646
Provider NameStacy P Harris
Provider TypePractitioner - Chiropractic
Provider IdentifiersNPI Number: 1811902125
PECOS PAC ID: 6305863291
Enrollment ID: I20060113000144
Provider NameJeffery M Fritz
Provider TypePractitioner - General Practice
Provider IdentifiersNPI Number: 1861562407
PECOS PAC ID: 5395811517
Enrollment ID: I20080911000346
Provider NameMarc S Demyun
Provider TypePractitioner - General Practice
Provider IdentifiersNPI Number: 1952366684
PECOS PAC ID: 1254460942
Enrollment ID: I20140206000150
Provider NameDonna K Austin
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1871581082
PECOS PAC ID: 6002867439
Enrollment ID: I20151228000021
Provider NameAnisa R Lakhani
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1497233340
PECOS PAC ID: 0345599981
Enrollment ID: I20180815002534
Provider NameMichael S Elrod
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1356939334
PECOS PAC ID: 9739585233
Enrollment ID: I20210909000033
Provider NameDorothy J Watson
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1740911338
PECOS PAC ID: 4789059726
Enrollment ID: I20230405001469
Provider NameKristin M Flowers
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1265130843
PECOS PAC ID: 4284098575
Enrollment ID: I20230920001039
Provider NameMary Christine Wilkinson
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1225124126
PECOS PAC ID: 2264463470
Enrollment ID: I20241209001165

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. 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

5521 Bellaire Dr S Ste 114,
Fort Worth, TX 76109-5855

Ph: (817) 926-9642
5521 Bellaire Dr S Ste 110,
Fort Worth, TX 76109-5855

Ph: (817) 926-9642

Reviews and Comments



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.