Dr Mary Quiceno, MD in Fort Worth, TX - Medicare Psychiatry & Neurology

Dr Mary Quiceno, MD is a medicare enrolled "Psychiatry & Neurology - Neurology" physician in Fort Worth, Texas. Her current practice location is 855 Montgomery St, Fort Worth, Texas. You can reach out to her office (for appointments etc.) via phone at (817) 735-2200.

Dr Mary Quiceno is licensed to practice in Texas (license number L6149) 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 1497754162.

Contact Information

	Dr Mary Quiceno, MD
	855 Montgomery St, Fort Worth, TX 76107-2553
	(817) 735-2200
	(817) 735-5441

Map and Direction

Physician's Profile

Full Name	Dr Mary Quiceno
Gender	Female
Speciality	Psychiatry & Neurology - Neurology
Location	855 Montgomery 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: 1497754162
Provider Enumeration Date: 07/15/2005
Last Update Date: 02/09/2018

Medicare PECOS Information:

PECOS PAC ID: 7315931581
Enrollment ID: I20040412000498

Medical Identifiers

Medical identifiers for Dr Mary Quiceno such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1497754162	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
2084N0400X	Psychiatry & Neurology - Neurology	L6149 (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 Mary Quiceno allows following entities to bill medicare on her behalf.

Entity Name	University Of Texas Southwestern Medical Center At Dallas
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1972579365 PECOS PAC ID: 0648188250 Enrollment ID: O20031106000792

Entity Name	University Of North Texas Health Science Center At Fort Worth
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1376645564 PECOS PAC ID: 6103717350 Enrollment ID: O20040324001382

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 Mary Quiceno 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 Mary Quiceno, MD 855 Montgomery St, Fort Worth, TX 76107-2553 Ph: (817) 735-2200	Dr Mary Quiceno, MD 855 Montgomery St, Fort Worth, TX 76107-2553 Ph: (817) 735-2200

Reviews and Comments

Psychiatry & Neurology Doctors in Fort Worth, TX

Mandeep Singh Chahil, M.D. Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 713 Grainger St, Fort Worth, TX 76104 Phone: 817-336-3968 Fax: 817-336-3917
Dr. Melissa Pennington, D.O. Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 1500 S Main St, Fort Worth, TX 76104 Phone: 817-927-3636
Syed Muhammad Ali Imran Bukhari, MD Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 6200 Overton Ridge Blvd, Fort Worth, TX 76132 Phone: 817-361-1991
Prema Manjunath, MD Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 855 Montgomery St, Fort Worth, TX 76107 Phone: 817-927-3638 Fax: 817-923-8769
Jose Ramon Silvas, MD Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 855 Montgomery St, Fort Worth, TX 76107 Phone: 817-927-3638 Fax: 817-923-8769
Ramakrishna Veluri, M.D Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 5560 Mesa Springs Dr, Fort Worth, TX 76123 Phone: 682-477-3534 Fax: 682-477-3602
Holly Cannon, DO Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 855 Montgomery St, Fort Worth, TX 76107 Phone: 817-735-2400

Dr Mary Quiceno, MD - Medicare Psychiatry & Neurology in Fort Worth, TX