Kevin P Lally, MD in Houston, TX

Kevin P Lally, MD is a medicare enrolled "Surgery - Pediatric Surgery" physician in Houston, Texas. His current practice location is 6410 Fannin St, 1400, Houston, Texas. You can reach out to his office (for appointments etc.) via phone at (832) 325-7234.

Kevin P Lally is licensed to practice in Texas (license number H9668) 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 1013949635.

Contact Information

	Kevin P Lally, MD
	6410 Fannin St, 1400, Houston, TX 77030-3000
	(832) 325-7234
	(713) 512-2221

Map and Direction

Physician's Profile

Full Name	Kevin P Lally
Gender	Male
Speciality	Surgery - Pediatric Surgery
Location	6410 Fannin St, Houston, Texas
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1013949635
Provider Enumeration Date: 07/06/2006
Last Update Date: 03/03/2023

Medicare PECOS Information:

PECOS PAC ID: 7810026663
Enrollment ID: I20100603000694

Medical Identifiers

Medical identifiers for Kevin P Lally such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1013949635	NPI	-	NPPES
137118905	Medicaid	TX
137118917	Medicaid	TX
137118918	Other	TX	MEDICAID-CSHCN
82M033	Other	TX	BCBS
81Z193	Other	TX	BCBS
137118901	Other	TX	CSHCN

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208600000X	Surgery	H9668 (Texas)	Secondary
2086S0120X	Surgery - Pediatric Surgery	H9668 (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. Kevin P Lally allows following entities to bill medicare on his behalf.

Entity Name	Ut Physicians
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1033157821 PECOS PAC ID: 8426960360 Enrollment ID: O20031107000268

Entity Name	Physicians Referral Service
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1073574810 PECOS PAC ID: 7911801410 Enrollment ID: O20031125000953

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. Kevin P Lally 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
Kevin P Lally, MD Po Box 201088, Houston, TX 77216-1088 Ph: (713) 500-3500	Kevin P Lally, MD 6410 Fannin St, 1400, Houston, TX 77030-3000 Ph: (832) 325-7234

Reviews and Comments

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Dr. Gail E Burbridge Jr., M.D. Surgery Medicare: Not Enrolled in Medicare Practice Location: 1200 Binz St, Suite 1362, Houston, TX 77004 Phone: 713-523-2411 Fax: 713-796-8952
John Davis, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 1315 St Joseph Pkwy Ste 1004, Houston, TX 77002 Phone: 936-441-1010
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Dr. Irfan I Wadiwala, D.O. Surgery Medicare: Accepting Medicare Assignments Practice Location: 13323 Dotson Rd Ste 210, Houston, TX 77070 Phone: 281-653-6544

Kevin P Lally, MD - Medicare Surgery in Houston, TX