Mary Gwen Gorman, MD is a medicare enrolled "Emergency Medicine" physician in Aspermont, Texas. Her current practice location is
821 N Broadway St, Aspermont, Texas. You can reach out to her office (for appointments etc.) via phone at
(940) 988-4366.
Mary Gwen Gorman is licensed to practice in Texas (license number H3249) 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 1710925359.
Physician's Profile
Full Name | Mary Gwen Gorman |
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Gender | Female |
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Speciality | Emergency Medicine |
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Location | 821 N Broadway St, Aspermont, Texas |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1710925359
- Provider Enumeration Date: 06/04/2006
- Last Update Date: 03/02/2023
Medicare PECOS Information:
- PECOS PAC ID: 4789675547
- Enrollment ID: I20040520000516
Medical Identifiers
Medical identifiers for Mary Gwen Gorman such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1710925359 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207P00000X | Emergency Medicine | H3249 (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. Mary Gwen Gorman allows following entities to bill medicare on her behalf.
Entity Name | Stonewall Memorial Hospital |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1083612121 PECOS PAC ID: 1254228919 Enrollment ID: O20040228000195 |
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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. Mary Gwen Gorman 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 |
Mary Gwen Gorman, MD 2228 Baugh Rd, Austin, TX 78754-4115 Ph: (512) 323-2795 | Mary Gwen Gorman, MD 821 N Broadway St, Aspermont, TX 79502-2029 Ph: (940) 988-4366 |
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