Dr Michelle Martin Southard, DO - Medicare Surgery in Fort Worth, TX

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Dr Michelle Martin Southard, DO is a medicare enrolled "Surgery - Plastic And Reconstructive Surgery" physician in Fort Worth, Texas. Her current practice location is 800 8th Ave Ste 116, Fort Worth, Texas. You can reach out to her office (for appointments etc.) via phone at (817) 335-6363.

Dr Michelle Martin Southard is licensed to practice in Texas (license number P4783) 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 1992045090.

Contact Information

Dr Michelle Martin Southard, DO
800 8th Ave Ste 116,
Fort Worth, TX 76104-2606
(817) 335-6363
Not Available

Map and Direction




Physician's Profile

Full NameDr Michelle Martin Southard
GenderFemale
SpecialitySurgery - Plastic And Reconstructive Surgery
Location800 8th Ave Ste 116, Fort Worth, Texas
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1992045090
  • Provider Enumeration Date: 02/26/2013
  • Last Update Date: 06/21/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 2668773466
  • Enrollment ID: I20220118001047

Medical Identifiers

Medical identifiers for Dr Michelle Martin Southard such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1992045090NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
208200000XPlastic Surgery 5101020787 (Michigan)Secondary
208200000XPlastic Surgery P4783 (Texas)Secondary
2086S0122XSurgery - Plastic And Reconstructive Surgery 5101020787 (Michigan)Secondary
2086S0122XSurgery - Plastic And Reconstructive Surgery P4783 (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 Michelle Martin Southard allows following entities to bill medicare on her behalf.
Entity NameResilient Plastic Surgery Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1932807682
PECOS PAC ID: 8527432798
Enrollment ID: O20230330001014

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 Michelle Martin Southard 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 Michelle Martin Southard, DO
800 8th Ave Ste 116,
Fort Worth, TX 76104-2606

Ph: (817) 335-6363		Dr Michelle Martin Southard, DO
800 8th Ave Ste 116,
Fort Worth, TX 76104-2606

Ph: (817) 335-6363

Reviews and Comments


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Dr. Nabeel M Shabout, M.D.
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Miss Ruth Ellen Jones, M. D.
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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.