Juliette Fumtim, MD in Fort Worth, TX - Medicare Family Medicine

Juliette Fumtim, MD is a medicare enrolled "Family Medicine" physician in Fort Worth, Texas. Her current practice location is 4701 Boat Club Rd Ste 325, Fort Worth, Texas. You can reach out to her office (for appointments etc.) via phone at (817) 238-1950.

Juliette Fumtim is licensed to practice in Texas (license number P3719) 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 1528297405.

Contact Information

	Juliette Fumtim, MD
	4701 Boat Club Rd Ste 325, Fort Worth, TX 76135-2120
	(817) 238-1950
	Not Available

Map and Direction

Physician's Profile

Full Name	Juliette Fumtim
Gender	Female
Speciality	Family Medicine
Location	4701 Boat Club Rd Ste 325, 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: 1528297405
Provider Enumeration Date: 07/13/2009
Last Update Date: 09/13/2023

Medicare PECOS Information:

PECOS PAC ID: 0446406862
Enrollment ID: I20120816000966

Medical Identifiers

Medical identifiers for Juliette Fumtim such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1528297405	NPI	-	NPPES
8DW907	Other	TX	BCBS
309052402	Medicaid	TX

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207Q00000X	Family Medicine	P3719 (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. Juliette Fumtim allows following entities to bill medicare on her behalf.

Entity Name	Texas Health Physicians Group
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1174573596 PECOS PAC ID: 4385535954 Enrollment ID: O20040323000759

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. Juliette Fumtim 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
Juliette Fumtim, MD 6048 Lake Worth Blvd, Fort Worth, TX 76135-3706 Ph: (817) 238-1950	Juliette Fumtim, MD 4701 Boat Club Rd Ste 325, Fort Worth, TX 76135-2120 Ph: (817) 238-1950

Reviews and Comments

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Juliette Fumtim, MD - Medicare Family Medicine in Fort Worth, TX