Dr Katherine Anne Utech, MD is a medicare enrolled "Student In An Organized Health Care Education/training Program" physician in Fort Worth, Texas. Her current practice location is
1500 S Main St, Fort Worth, Texas. You can reach out to her office (for appointments etc.) via phone at
(817) 702-8840.
Dr Katherine Anne Utech is licensed to practice in * (Not Available) (license number ) 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 1417537176.
Physician's Profile
Full Name | Dr Katherine Anne Utech |
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Gender | Female |
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Speciality | Student In An Organized Health Care Education/training Program |
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Location | 1500 S Main St, Fort Worth, Texas |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1417537176
- Provider Enumeration Date: 04/08/2021
- Last Update Date: 04/08/2024
Medicare PECOS Information:
- PECOS PAC ID: 9638525751
- Enrollment ID: I20231026000781
Medical Identifiers
Medical identifiers for Dr Katherine Anne Utech such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1417537176 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207P00000X | Emergency Medicine | FU3082283 (Texas) | Secondary |
390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | 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. Dr Katherine Anne Utech allows following entities to bill medicare on her behalf.
Entity Name | Travis County Emergency Physicians Pa |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1962440933 PECOS PAC ID: 0840289468 Enrollment ID: O20040510000492 |
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Entity Name | Integrative Emergency Services Physician Group Pa |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1285922542 PECOS PAC ID: 0749447936 Enrollment ID: O20120130000932 |
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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. Dr Katherine Anne Utech 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 |
Dr Katherine Anne Utech, MD 1500 S Main St, Fort Worth, TX 76104-4917 Ph: (817) 702-8840 | Dr Katherine Anne Utech, MD 1500 S Main St, Fort Worth, TX 76104-4917 Ph: (817) 702-8840 |
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