Gary Lee Etter, MD - Medicare Psychiatry & Neurology in Fort Worth, TX

Gary Lee Etter, MD is a medicare enrolled "Psychiatry & Neurology - Psychiatry" physician in Fort Worth, Texas. His current practice location is 855 Montgomery St, Fort Worth, Texas. You can reach out to his office (for appointments etc.) via phone at (817) 735-2400.

Gary Lee Etter is licensed to practice in Texas (license number F6608) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1427000264.

Contact Information

Gary Lee Etter, MD
855 Montgomery St,
Fort Worth, TX 76107-2553
(817) 735-2400
Not Available

Map and Direction




Physician's Profile

Full NameGary Lee Etter
GenderMale
SpecialityPsychiatry & Neurology - Psychiatry
Location855 Montgomery St, 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: 1427000264
  • Provider Enumeration Date: 05/17/2006
  • Last Update Date: 09/27/2011
  Medicare PECOS Information:
  • PECOS PAC ID: 6305879693
  • Enrollment ID: I20050916000392

Medical Identifiers

Medical identifiers for Gary Lee Etter such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1427000264NPI-NPPES
8U1293OtherTXBCBS
P00415557OtherTXMEDICARE RAILROAD
135567912MedicaidTX

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
2084P0800XPsychiatry & Neurology - Psychiatry F6608 (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. Gary Lee Etter allows following entities to bill medicare on his behalf.
Entity NameMy Health My Resources Of Tarrant County
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1952423782
PECOS PAC ID: 6406755693
Enrollment ID: O20040107000397
Entity NameAcclaim Physician Group Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1780076562
PECOS PAC ID: 4587963582
Enrollment ID: O20160426000707

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. Gary Lee Etter 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
Gary Lee Etter, MD
Po Box 99335,
Fort Worth, TX 76199-0335

Ph: () -
Gary Lee Etter, MD
855 Montgomery St,
Fort Worth, TX 76107-2553

Ph: (817) 735-2400

Reviews and Comments


Psychiatry & Neurology Doctors in Fort Worth, TX

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Ramakrishna Veluri, M.D
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Phone: 682-477-3534    Fax: 682-477-3602
Holly Cannon, DO
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Practice Location: 855 Montgomery St, Fort Worth, TX 76107
Phone: 817-735-2400    

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).

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