Dr Kelly Dawn Mattix, MD in Temple, TX

Dr Kelly Dawn Mattix, MD is a medicare enrolled "Surgery - Pediatric Surgery" physician in Temple, Texas. Her current practice location is 1901 Sw H K Dodgen Loop, Temple, Texas. You can reach out to her office (for appointments etc.) via phone at (254) 724-5437.

Dr Kelly Dawn Mattix is licensed to practice in Arkansas (license number E-17038) 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 1063685956.

Contact Information

	Dr Kelly Dawn Mattix, MD
	1901 Sw H K Dodgen Loop, Temple, TX 76502-1814
	(254) 724-5437
	Not Available

Map and Direction

Physician's Profile

Full Name	Dr Kelly Dawn Mattix
Gender	Female
Speciality	Surgery - Pediatric Surgery
Location	1901 Sw H K Dodgen Loop, Temple, Texas
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1063685956
Provider Enumeration Date: 04/11/2008
Last Update Date: 10/03/2023

Medicare PECOS Information:

PECOS PAC ID: 8921295361
Enrollment ID: I20101210000160

Medical Identifiers

Medical identifiers for Dr Kelly Dawn Mattix such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1063685956	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208600000X	Surgery	E-17038 (Arkansas)	Secondary
2086S0120X	Surgery - Pediatric Surgery	N7560 (Texas)	Secondary
2086S0120X	Surgery - Pediatric Surgery	E-17038 (Arkansas)	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 Kelly Dawn Mattix allows following entities to bill medicare on her behalf.

Entity Name	Scott & White Clinic
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1093779704 PECOS PAC ID: 8123923604 Enrollment ID: O20031223000640

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 Kelly Dawn Mattix 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 Kelly Dawn Mattix, MD Po Box 844568, Dallas, TX 75284-4658 Ph: () -	Dr Kelly Dawn Mattix, MD 1901 Sw H K Dodgen Loop, Temple, TX 76502-1814 Ph: (254) 724-5437

Reviews and Comments

Surgery Doctors in Temple, TX

Dr. John W Fitzwater, M.D. Surgery Medicare: Medicare Enrolled Practice Location: 1901 Sw H K Dodgen Loop Bldg 300, Temple, TX 76502 Phone: 813-554-8384
Grace Ng, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 2401 S 31st St, Temple, TX 76508 Phone: 254-724-2111
Dr. John C. Hendricks, M.D. Surgery Medicare: Not Enrolled in Medicare Practice Location: 2401 S 31st St, Temple, TX 76508 Phone: 254-724-2111
Dr. William Todd Bohannon, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 2401 S 31st St, Temple, TX 76508 Phone: 254-724-2111
Robert Scott Smith, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 2401 S 31st St, Temple, TX 76508 Phone: 254-724-2111 Fax: 254-724-7603
Dr. Jacqueline Ann Lappin, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 2401 S 31st St, Temple, TX 76508 Phone: 254-724-2111
Doris Sophia Li, M.D. Surgery Medicare: Medicare Enrolled Practice Location: 2401 S 31st St, Temple, TX 76508 Phone: 254-724-2111

Dr Kelly Dawn Mattix, MD - Medicare Surgery in Temple, TX