Dr Justin Walter Fairless, DO - Medicare Emergency Medicine in Fort Worth, TX

  1. Home
  2. Emergency Medicine
  3. TX
  4. Fort Worth
Dr Justin Walter Fairless, DO is a medicare enrolled "Emergency Medicine" physician in Fort Worth, Texas. He went to Oklahoma State University College Of Osteopathic Medicine and graduated in 2008 and has 16 years of diverse experience with area of expertise as Emergency Medicine. He is a member of the group practice Daniela Dillman Np Pllc, Texas Physician Resources, Llp and his current practice location is 1651 W Rosedale St, Fort Worth, Texas. You can reach out to his office (for appointments etc.) via phone at (817) 257-6633.

Dr Justin Walter Fairless is licensed to practice in Texas (license number N3638) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1760615496.

Contact Information

Dr Justin Walter Fairless, DO
1651 W Rosedale St,
Fort Worth, TX 76104-7437
(817) 257-6633
Not Available

Map and Direction




Physician's Profile

Full NameDr Justin Walter Fairless
GenderMale
SpecialityEmergency Medicine
Experience16 Years
Location1651 W Rosedale St, Fort Worth, Texas
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Dr Justin Walter Fairless attended and graduated from Oklahoma State University College Of Osteopathic Medicine in 2008
  NPI Data:
  • NPI Number: 1760615496
  • Provider Enumeration Date: 08/28/2009
  • Last Update Date: 12/12/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 8729110044
  • Enrollment ID: I20100721000666

Medical Identifiers

Medical identifiers for Dr Justin Walter Fairless such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1760615496NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207P00000XEmergency Medicine N3638 (Texas)Primary
207PE0004XEmergency Medicine - Emergency Medical Services N3638 (Texas)Secondary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Methodist Southlake HospitalSouthlake, TXHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Daniela Dillman Np Pllc57991685222
Texas Physician Resources, Llp701216137576

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. Dr Justin Walter Fairless allows following entities to bill medicare on his behalf.
Entity NameUniversity Of Texas Southwestern Medical Center At Dallas
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1972579365
PECOS PAC ID: 0648188250
Enrollment ID: O20031106000792
Entity NameQuestcare Medical Services Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1164574489
PECOS PAC ID: 6204739402
Enrollment ID: O20040127000697
Entity NameTexas Physician Resources, Llp
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1639413289
PECOS PAC ID: 7012161375
Enrollment ID: O20130214000159
Entity NameTexas Medicine Resources, Llp
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1376581900
PECOS PAC ID: 5890688212
Enrollment ID: O20130702000785
Entity Name24 Hour Physicians, Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1396083424
PECOS PAC ID: 2365670486
Enrollment ID: O20140118000272
Entity NameDaniela Dillman Np Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1376280578
PECOS PAC ID: 5799168522
Enrollment ID: O20220811002305

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. Dr Justin Walter Fairless 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
Dr Justin Walter Fairless, DO
Tcu Box 297085,
Fort Worth, TX 76129-0001

Ph: (817) 257-6633		Dr Justin Walter Fairless, DO
1651 W Rosedale St,
Fort Worth, TX 76104-7437

Ph: (817) 257-6633

Reviews and Comments


Emergency Medicine Doctors in Fort Worth, TX

Anna Burns Schroeder, MD
Emergency Medicine
Medicare: Medicare Enrolled
Practice Location: 6451 Brentwood Stair Rd, Suite 202, Fort Worth, TX 76112
Phone: 713-858-4684    
Joey Mayor, MD
Emergency Medicine
Medicare: Medicare Enrolled
Practice Location: 1400 8th Ave, Fort Worth, TX 76104
Phone: 214-712-2074    Fax: 214-712-2444
Don Stewart Harper, M.D.
Emergency Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 6451 Brentwood Stair Rd, Suite 200, Fort Worth, TX 76112
Phone: 817-507-1770    Fax: 817-507-1771
Dr. Britton Michael Devillier, M.D., M.P.H.
Emergency Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 801 7th Ave, Fort Worth, TX 76104
Phone: 682-885-4095    Fax: 682-885-7499
Lacey A Mcdaniel, PA-C
Emergency Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 7001 Granbury Rd, Fort Worth, TX 76133
Phone: 817-346-1925    Fax: 817-292-7237
Dr. Rafael Andres Raya, MD
Emergency Medicine
Medicare: Medicare Enrolled
Practice Location: 3101 N Tarrant Pkwy, Fort Worth, TX 76177
Phone: 817-639-1000    
Mr. Karim S Jamal, M.D.
Emergency Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 11801 S. Freeway, Fort Worth, TX 76134
Phone: 817-293-9110    

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.