Karen Elaine English, MD - Medicare Pediatrics in Hereford, AZ

  1. Home
  2. Pediatrics
  3. AZ
  4. Hereford
Karen Elaine English, MD is a medicare enrolled "Pediatrics" physician in Hereford, Arizona. Her current practice location is 4524 E Hereford Rd, Hereford, Arizona. You can reach out to her office (for appointments etc.) via phone at (520) 432-8206.

Karen Elaine English is licensed to practice in Arizona (license number 58113) 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 1891752697.

Contact Information

Karen Elaine English, MD
4524 E Hereford Rd,
Hereford, AZ 85615-8813
(520) 432-8206
Not Available

Map and Direction




Physician's Profile

Full NameKaren Elaine English
GenderFemale
SpecialityPediatrics
Location4524 E Hereford Rd, Hereford, Arizona
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1891752697
  • Provider Enumeration Date: 04/27/2006
  • Last Update Date: 06/21/2024
  Medicare PECOS Information:
  • PECOS PAC ID: 3870926645
  • Enrollment ID: I20200507001362

Medical Identifiers

Medical identifiers for Karen Elaine English such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1891752697NPI-NPPES
042238802MedicaidTX

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
208000000XPediatrics K6612 (Texas)Secondary
208000000XPediatrics 58113 (Arizona)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. Karen Elaine English allows following entities to bill medicare on her behalf.
Entity NameBisbee Hospital Association
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1518968767
PECOS PAC ID: 5092626168
Enrollment ID: O20040623001007

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. Karen Elaine English 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
Karen Elaine English, MD
100 E 5th St,
Douglas, AZ 85607-2859

Ph: (520) 364-7659		Karen Elaine English, MD
4524 E Hereford Rd,
Hereford, AZ 85615-8813

Ph: (520) 432-8206

Reviews and Comments


Pediatrics Doctors in Hereford, AZ


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.