David Eugene Mouton, MD is a medicare enrolled "Nuclear Medicine" physician in Houston, Texas. His current practice location is
1111 Augusta Dr, Houston, Texas. You can reach out to his office (for appointments etc.) via phone at
(713) 442-2400.
David Eugene Mouton is licensed to practice in Texas (license number D6830) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1104912385.
Physician's Profile
| Full Name | David Eugene Mouton |
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| Gender | Male |
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| Speciality | Nuclear Medicine |
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| Location | 1111 Augusta Dr, Houston, Texas |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1104912385
- Provider Enumeration Date: 10/05/2006
- Last Update Date: 06/14/2021
Medicare PECOS Information:
- PECOS PAC ID: 3678752417
- Enrollment ID: I20110125000887
Medical Identifiers
Medical identifiers for David Eugene Mouton such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1104912385 | NPI | - | NPPES |
| 124291910 | Medicaid | TX | |
| 124291905 | Medicaid | TX | |
| 124291907 | Medicaid | TX | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 207R00000X | Internal Medicine | D6830 (Texas) | Secondary |
| 207U00000X | Nuclear Medicine | D6830 (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. David Eugene Mouton allows following entities to bill medicare on his behalf.
| Entity Name | Kelsey-seybold Medical Group, Pllc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1013915255
PECOS PAC ID: 9739093527
Enrollment ID: O20031117000204 |
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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. David Eugene Mouton 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 Address | Practice Location Address |
|---|
David Eugene Mouton, MD
11511 Shadow Creek Pkwy,
Pearland, TX 77584-7298
Ph: (713) 442-0000 | David Eugene Mouton, MD
1111 Augusta Dr,
Houston, TX 77057-2209
Ph: (713) 442-2400 |
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