Mary K Powderly, MD in Fort Worth, TX

Mary K Powderly, MD is a medicare enrolled "Pediatrics" physician in Fort Worth, Texas. Her current practice location is 1263 W Rosedale St Ste 200, Fort Worth, Texas. You can reach out to her office (for appointments etc.) via phone at (817) 336-4896.

Mary K Powderly is licensed to practice in Texas (license number L3784) 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 1154427227.

Contact Information

	Mary K Powderly, MD
	1263 W Rosedale St Ste 200, Fort Worth, TX 76104-2837
	(817) 336-4896
	(817) 332-2805

Map and Direction

Physician's Profile

Full Name	Mary K Powderly
Gender	Female
Speciality	Pediatrics
Location	1263 W Rosedale St Ste 200, 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: 1154427227
Provider Enumeration Date: 09/16/2006
Last Update Date: 04/19/2021

Medicare PECOS Information:

PECOS PAC ID: 3072777671
Enrollment ID: I20120612000124

Medical Identifiers

Medical identifiers for Mary K Powderly such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1154427227	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208M00000X	Hospitalist	L3784 (Texas)	Secondary
208000000X	Pediatrics	L3784 (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 K Powderly 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. Mary K Powderly 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 K Powderly, MD Po Box 733784, Dallas, TX 75373-3784 Ph: (682) 885-6163	Mary K Powderly, MD 1263 W Rosedale St Ste 200, Fort Worth, TX 76104-2837 Ph: (817) 336-4896

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

Mary K Powderly, MD - Medicare Pediatrics in Fort Worth, TX