Krista M Putty, in Fort Worth, TX

Krista M Putty, is a medicare enrolled "Pediatrics" physician in Fort Worth, Texas. Her current practice location is 1401 W Pulaski St, Fort Worth, Texas. You can reach out to her office (for appointments etc.) via phone at (682) 885-8012.

Krista M Putty is licensed to practice in Texas (license number T7334) 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 1457841801.

Contact Information

	Krista M Putty,
	1401 W Pulaski St, Fort Worth, TX 76104-2717
	(682) 885-8012
	(682) 885-8014

Map and Direction

Physician's Profile

Full Name	Krista M Putty
Gender	Female
Speciality	Pediatrics
Location	1401 W Pulaski St, 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: 1457841801
Provider Enumeration Date: 05/11/2018
Last Update Date: 07/14/2022

Medicare PECOS Information:

PECOS PAC ID: 6800286881
Enrollment ID: I20211206002515

Medical Identifiers

Medical identifiers for Krista M Putty such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1457841801	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207P00000X	Emergency Medicine	63333 (Arizona)	Secondary
208000000X	Pediatrics	T7334 (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. Krista M Putty allows following entities to bill medicare on her behalf.

Entity Name	Phoenix Children's Hospital
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1922112044 PECOS PAC ID: 0446278584 Enrollment ID: O20051107000704

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. Krista M Putty 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
Krista M Putty, Po Box 99213, Fort Worth, TX 76199-0213 Ph: (682) 885-1860	Krista M Putty, 1401 W Pulaski St, Fort Worth, TX 76104-2717 Ph: (682) 885-8012

Reviews and Comments

Pediatrics Doctors in Fort Worth, TX

Dr. Heidi Danielle Tomlinson, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 1301 Pennsylvania Ave, Department Of Neonatology, Fort Worth, TX 76104 Phone: 817-250-2892
Rachel Marie Souers, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 801 7th Ave, Fort Worth, TX 76104 Phone: 682-885-6726 Fax: 682-885-6729
Gregory Barker, Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 1500 Cooper St, Fort Worth, TX 76104 Phone: 682-885-2140 Fax: 817-332-2506
Anne Marcum Kirk, M.D. Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 801 7th Ave, Fort Worth, TX 76104 Phone: 682-885-1475 Fax: 682-885-7520
Hina Aziz Rehman, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1401 W Pulaski St, Fort Worth, TX 76104 Phone: 682-885-8012 Fax: 682-885-8014
Khalid H Syed, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 2332 Beverly Hills Dr, Fort Worth, TX 76114 Phone: 817-378-0855 Fax: 817-378-0861
Dr. Phuong Thi Nguyen, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 801 7th Ave, Fort Worth, TX 76104 Phone: 682-885-1475 Fax: 682-885-7520

Krista M Putty, - Medicare Pediatrics in Fort Worth, TX