Dr Theodore Bryan Gupton Jr, MD in Fort Worth, TX - Medicare Interventional Radiology

Dr Theodore Bryan Gupton Jr, MD is a medicare enrolled "Radiology - Diagnostic Radiology" physician in Fort Worth, Texas. He went to University Of Texas Medical School At San Antonio and graduated in 2009 and has 15 years of diverse experience with area of expertise as Interventional Radiology. He is a member of the group practice Methodist-cdi, Radiology Associates Of North Texas Pa and his current practice location is 815 Pennsylvania Ave, Fort Worth, Texas. You can reach out to his office (for appointments etc.) via phone at (817) 321-0404.

Dr Theodore Bryan Gupton Jr is licensed to practice in Texas (license number Q2900) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1790019347.

Contact Information

	Dr Theodore Bryan Gupton Jr, MD
	815 Pennsylvania Ave, Fort Worth, TX 76104-2224
	(817) 321-0404
	Not Available

Map and Direction

Physician's Profile

Full Name	Dr Theodore Bryan Gupton Jr
Gender	Male
Speciality	Interventional Radiology
Experience	15 Years
Location	815 Pennsylvania Ave, Fort Worth, Texas
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Dr Theodore Bryan Gupton Jr attended and graduated from University Of Texas Medical School At San Antonio in 2009

NPI Data:

NPI Number: 1790019347
Provider Enumeration Date: 09/30/2009
Last Update Date: 06/20/2024

Medicare PECOS Information:

PECOS PAC ID: 4789983602
Enrollment ID: I20170328001884

Medical Identifiers

Medical identifiers for Dr Theodore Bryan Gupton Jr such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1790019347	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
2085R0204X	Radiology - Vascular & Interventional Radiology	Q2900 (Texas)	Secondary
2085R0202X	Radiology - Diagnostic Radiology	Q2900 (Texas)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Texas Health Arlington Memorial Hospital	Arlington, TX	Hospital
Texas Health Heart & Vascular Hospital Arlington	Arlington, TX	Hospital
Baylor Scott & White Medical Center At Irving	Irving, TX	Hospital
Methodist Mansfield Medical Center	Mansfield, TX	Hospital
Texas Health Harris Methodist Hospital Fort Worth	Fort worth, TX	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Methodist-cdi	3072836600	36
Radiology Associates Of North Texas Pa	7911897301	295

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 Theodore Bryan Gupton Jr allows following entities to bill medicare on his behalf.

Entity Name	Radiology Associates Of North Texas Pa
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1710970975 PECOS PAC ID: 7911897301 Enrollment ID: O20040617000531

Entity Name	Methodist-cdi
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1164829214 PECOS PAC ID: 3072836600 Enrollment ID: O20150106001211

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 Theodore Bryan Gupton Jr 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 Theodore Bryan Gupton Jr, MD 816 W Cannon Street, Fort Worth, TX 76104 Ph: (817) 321-0404	Dr Theodore Bryan Gupton Jr, MD 815 Pennsylvania Ave, Fort Worth, TX 76104-2224 Ph: (817) 321-0404

Reviews and Comments

Radiology Doctors in Fort Worth, TX

Kelly C Starkey, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 815 Pennsylvania Ave, Fort Worth, TX 76104 Phone: 817-321-0404 Fax: 469-522-6889
Dr. Mark Sohner, M.D. Radiology Medicare: Medicare Enrolled Practice Location: 815 Pennsylvania Ave, Fort Worth, TX 76104 Phone: 173-210-4048
Dr. John A Queralt, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 815 Pennsylvania Ave, Fort Worth, TX 76104 Phone: 817-321-0312 Fax: 817-317-7033
Dr. Robert Joseph Reeb Jr., MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 815 Pennsylvania Ave, Fort Worth, TX 76104 Phone: 817-321-0312 Fax: 817-317-7033
Eugenia Payne, M.D Radiology Medicare: Accepting Medicare Assignments Practice Location: 815 Pennsylvania Ave, Fort Worth, TX 76104 Phone: 817-321-0404
Dr. Jeffrey Scott Wenzel, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 815 Pennsylvania Ave, Fort Worth, TX 76104 Phone: 817-321-0387
Dr. Robert Lewis Emery, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 815 Pennsylvania Ave, Fort Worth, TX 76104 Phone: 817-321-0404

Dr Theodore Bryan Gupton Jr, MD - Medicare Interventional Radiology in Fort Worth, TX