Mary Kathryn Eagleton, MD in Tyler, TX

Mary Kathryn Eagleton, MD is a medicare enrolled "Pediatrics" physician in Tyler, Texas. Her current practice location is 8288 S Broadway Ave, Tyler, Texas. You can reach out to her office (for appointments etc.) via phone at (903) 606-7060.

Mary Kathryn Eagleton is licensed to practice in Texas (license number BP1-0039531) 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 1669765350.

Contact Information

	Mary Kathryn Eagleton, MD
	8288 S Broadway Ave, Tyler, TX 75703-5262
	(903) 606-7060
	Not Available

Map and Direction

Physician's Profile

Full Name	Mary Kathryn Eagleton
Gender	Female
Speciality	Pediatrics
Location	8288 S Broadway Ave, Tyler, Texas
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1669765350
Provider Enumeration Date: 05/27/2011
Last Update Date: 03/17/2018

Medicare PECOS Information:

PECOS PAC ID: 1153696851
Enrollment ID: I20171005002436

Medical Identifiers

Medical identifiers for Mary Kathryn Eagleton such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1669765350	NPI	-	NPPES
P01912556	Other	TX	MEDICARE RAIL ROAD
376763401	Medicaid	TX
75-2616977-118	Other	TX	TRICARE
8HE842	Other	TX	BCBS

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208000000X	Pediatrics	BP1-0039531 (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 Kathryn Eagleton allows following entities to bill medicare on her behalf.

Entity Name	Christus Trinity Clinic
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1285684225 PECOS PAC ID: 3072426741 Enrollment ID: O20031204001091

Entity Name	Mother Frances Hospital Jacksonville
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1952306672 PECOS PAC ID: 5597751024 Enrollment ID: O20040421001092

Entity Name	Mother Frances Hospital Regional Health Care Center
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1679578439 PECOS PAC ID: 9234025636 Enrollment ID: O20040610001042

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 Kathryn Eagleton 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 Kathryn Eagleton, MD Po Box 846098, Dallas, TX 75284-6098 Ph: (903) 324-6400	Mary Kathryn Eagleton, MD 8288 S Broadway Ave, Tyler, TX 75703-5262 Ph: (903) 606-7060

Reviews and Comments

Pediatrics Doctors in Tyler, TX

Krystal Castle, DO Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 305 W Rusk St, Tyler, TX 75701 Phone: 903-592-7304
Daniel Jun Park, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 706 Turtle Creek Dr, Tyler, TX 75701 Phone: 903-595-3942
Mrs. Valerie B Smith, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 1350 E Richards St, Tyler, TX 75702 Phone: 903-531-9455 Fax: 903-526-3118
Kristina Orey Mitchell, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 1000 E 5th St Ste 100, Tyler, TX 75701 Phone: 903-596-3862 Fax: 903-590-5005
Adelina G. Meadows, MD Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 706 Turtle Creek Dr, Tyler, TX 75701 Phone: 903-595-3942
Dr. Michael David Austin, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 1000 E 5th St, Tyler, TX 75701 Phone: 903-594-2450 Fax: 903-939-0610
James Riley Davis, DO Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1000 E 5th St Ste 100, Tyler, TX 75701 Phone: 903-590-5000 Fax: 903-590-5005

Mary Kathryn Eagleton, MD - Medicare Pediatrics in Tyler, TX