Katrina L Willie-musoma, MD in Mansfield, TX

Katrina L Willie-musoma, MD is a medicare enrolled "Pediatrics - Neurodevelopmental Disabilities" physician in Mansfield, Texas. Her current practice location is 2800 E Broad St Ste 100, Mansfield, Texas. You can reach out to her office (for appointments etc.) via phone at (817) 557-5437.

Katrina L Willie-musoma is licensed to practice in Texas (license number M9742) 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 1003023979.

Contact Information

	Katrina L Willie-musoma, MD
	2800 E Broad St Ste 100, Mansfield, TX 76063-6410
	(817) 557-5437
	(817) 539-0476

Map and Direction

Physician's Profile

Full Name	Katrina L Willie-musoma
Gender	Female
Speciality	Pediatrics - Neurodevelopmental Disabilities
Location	2800 E Broad St Ste 100, Mansfield, Texas
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1003023979
Provider Enumeration Date: 05/17/2007
Last Update Date: 12/28/2022

Medicare PECOS Information:

PECOS PAC ID: 6507930773
Enrollment ID: I20080806000270

Medical Identifiers

Medical identifiers for Katrina L Willie-musoma such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1003023979	NPI	-	NPPES
00R86C	Other		MEDICARE GROUP NPI
084933301	Other	TX	TMHP/MEDICAID GROUP TPI
195476005	Medicaid	TX

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208000000X	Pediatrics	M9742 (Texas)	Secondary
2080P0008X	Pediatrics - Neurodevelopmental Disabilities	M9742 (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. Katrina L Willie-musoma allows following entities to bill medicare on her behalf.

Entity Name	Cook Childrens Physician Network
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1750369203 PECOS PAC ID: 7719884584 Enrollment ID: O20040128000800

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. Katrina L Willie-musoma 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
Katrina L Willie-musoma, MD 2800 E Broad St Ste 100, Mansfield, TX 76063-6410 Ph: (817) 557-5437	Katrina L Willie-musoma, MD 2800 E Broad St Ste 100, Mansfield, TX 76063-6410 Ph: (817) 557-5437

Reviews and Comments

Pediatrics Doctors in Mansfield, TX

Clive G Daniels, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 701 Matlock Rd, Mansfield, TX 76063 Phone: 817-453-5437 Fax: 817-453-2714
Dr. Naima Garrett, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 1759 Broad Park Cir S Ste 201, Mansfield, TX 76063 Phone: 682-341-3910 Fax: 682-400-1288
Julie Hong, DO Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1759 Broad Park Circle S, Suite 201 And 205, Mansfield, TX 76063 Phone: 682-341-3910 Fax: 682-400-1288
Matthew Raymond Lussier, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 701 Matlock Rd, Mansfield, TX 76063 Phone: 817-453-5437
Linda K Phan, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 252 Matlock Rd Ste 300, Mansfield, TX 76063 Phone: 817-557-5473 Fax: 817-539-0476
Melvin T Joki, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 701 Matlock Rd, Mansfield, TX 76063 Phone: 817-453-5437 Fax: 817-453-2714

Katrina L Willie-musoma, MD - Medicare Pediatrics in Mansfield, TX