Mary Zelime Elibol, MD in Fort Worth, TX - Medicare Psychiatry & Neurology

Mary Zelime Elibol, MD is a medicare enrolled "Psychiatry & Neurology - Neurology With Special Qualifications In Child Neurology" physician in Fort Worth, Texas. Her current practice location is 1300 W Lancaster Ave Ste 205, Fort Worth, Texas. You can reach out to her office (for appointments etc.) via phone at (817) 336-8611.

Mary Zelime Elibol is licensed to practice in Massachusetts (license number 252548) 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 1477758084.

Contact Information

	Mary Zelime Elibol, MD
	1300 W Lancaster Ave Ste 205, Fort Worth, TX 76102-3490
	(817) 336-8611
	(817) 390-2981

Map and Direction

Physician's Profile

Full Name	Mary Zelime Elibol
Gender	Female
Speciality	Psychiatry & Neurology - Neurology With Special Qualifications In Child Neurology
Location	1300 W Lancaster Ave Ste 205, 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: 1477758084
Provider Enumeration Date: 06/15/2007
Last Update Date: 04/06/2021

Medicare PECOS Information:

PECOS PAC ID: 5294996328
Enrollment ID: I20190506001942

Medical Identifiers

Medical identifiers for Mary Zelime Elibol such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1477758084	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208000000X	Pediatrics	L-232250 (Massachusetts)	Secondary
2084N0402X	Psychiatry & Neurology - Neurology With Special Qualifications In Child Neurology	15949 (New Hampshire)	Secondary
2084N0402X	Psychiatry & Neurology - Neurology With Special Qualifications In Child Neurology	252548 (Massachusetts)	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 Zelime Elibol 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 Zelime Elibol 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 Zelime Elibol, MD Po Box 733784, Dallas, TX 75373-3784 Ph: (682) 885-1860	Mary Zelime Elibol, MD 1300 W Lancaster Ave Ste 205, Fort Worth, TX 76102-3490 Ph: (817) 336-8611

Reviews and Comments

Psychiatry & Neurology Doctors in Fort Worth, TX

Mandeep Singh Chahil, M.D. Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 713 Grainger St, Fort Worth, TX 76104 Phone: 817-336-3968 Fax: 817-336-3917
Dr. Melissa Pennington, D.O. Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 1500 S Main St, Fort Worth, TX 76104 Phone: 817-927-3636
Syed Muhammad Ali Imran Bukhari, MD Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 6200 Overton Ridge Blvd, Fort Worth, TX 76132 Phone: 817-361-1991
Prema Manjunath, MD Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 855 Montgomery St, Fort Worth, TX 76107 Phone: 817-927-3638 Fax: 817-923-8769
Jose Ramon Silvas, MD Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 855 Montgomery St, Fort Worth, TX 76107 Phone: 817-927-3638 Fax: 817-923-8769
Ramakrishna Veluri, M.D Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 5560 Mesa Springs Dr, Fort Worth, TX 76123 Phone: 682-477-3534 Fax: 682-477-3602
Holly Cannon, DO Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 855 Montgomery St, Fort Worth, TX 76107 Phone: 817-735-2400

Mary Zelime Elibol, MD - Medicare Psychiatry & Neurology in Fort Worth, TX