Dr Lisa A Duchamp, MD in Fort Worth, TX

Dr Lisa A Duchamp, MD is a medicare enrolled "Pediatrics" physician in Fort Worth, Texas. Her current practice location is 1500 W Rosedale St, Fort Worth, Texas. You can reach out to her office (for appointments etc.) via phone at (682) 885-6726.

Dr Lisa A Duchamp is licensed to practice in Texas (license number K0288) 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 1134145675.

Contact Information

	Dr Lisa A Duchamp, MD
	1500 W Rosedale St, Fort Worth, TX 76104-7403
	(682) 885-6726
	(682) 885-6729

Map and Direction

Physician's Profile

Full Name	Dr Lisa A Duchamp
Gender	Female
Speciality	Pediatrics
Location	1500 W Rosedale St, Fort Worth, Texas
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1134145675
Provider Enumeration Date: 07/15/2006
Last Update Date: 01/29/2015

Medicare PECOS Information:

PECOS PAC ID: 7416930870
Enrollment ID: I20040608001065

Medical Identifiers

Medical identifiers for Dr Lisa A Duchamp such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1134145675	NPI	-	NPPES
104115405	Medicaid	TX
8BZ262	Other	TX	BCBS
8L9750	Other	TX	MEDICARE
1041154 04	Medicaid	TX

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207R00000X	Internal Medicine	K0288 (Texas)	Secondary
208000000X	Pediatrics	K0288 (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. Dr Lisa A Duchamp allows following entities to bill medicare on her behalf.

Entity Name	Bay Area Emergency Partners
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1093032963 PECOS PAC ID: 4688707110 Enrollment ID: O20100804000049

Entity Name	Integrative Emergency Services Physician Group-houston Pllc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1801458708 PECOS PAC ID: 7113258500 Enrollment ID: O20191016002208

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 Lisa A Duchamp 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 Lisa A Duchamp, MD Po Box 99371, Fort Worth, TX 76199-0371 Ph: (682) 885-1855	Dr Lisa A Duchamp, MD 1500 W Rosedale St, Fort Worth, TX 76104-7403 Ph: (682) 885-6726

Reviews and Comments

Pediatrics Doctors in Fort Worth, TX

Dr. Heidi Danielle Tomlinson, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 1301 Pennsylvania Ave, Department Of Neonatology, Fort Worth, TX 76104 Phone: 817-250-2892
Rachel Marie Souers, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 801 7th Ave, Fort Worth, TX 76104 Phone: 682-885-6726 Fax: 682-885-6729
Gregory Barker, Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 1500 Cooper St, Fort Worth, TX 76104 Phone: 682-885-2140 Fax: 817-332-2506
Anne Marcum Kirk, M.D. Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 801 7th Ave, Fort Worth, TX 76104 Phone: 682-885-1475 Fax: 682-885-7520
Hina Aziz Rehman, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1401 W Pulaski St, Fort Worth, TX 76104 Phone: 682-885-8012 Fax: 682-885-8014
Khalid H Syed, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 2332 Beverly Hills Dr, Fort Worth, TX 76114 Phone: 817-378-0855 Fax: 817-378-0861
Dr. Phuong Thi Nguyen, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 801 7th Ave, Fort Worth, TX 76104 Phone: 682-885-1475 Fax: 682-885-7520

Dr Lisa A Duchamp, MD - Medicare Pediatrics in Fort Worth, TX