Michaela Renee Overturf, MD is a medicare enrolled "Dermatology" physician in Nacogdoches, Texas. She went to University Of Texas Medical Branch At Galveston and graduated in 2011 and has 13 years of diverse experience with area of expertise as Dermatology. She is a member of the group practice Oliver Street 5.01(a) Inc and her current practice location is
3611 North St Ste 140, Nacogdoches, Texas. You can reach out to her office (for appointments etc.) via phone at
(936) 585-7700.
Michaela Renee Overturf is licensed to practice in Texas (license number Q2176) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1144514803.
Physician's Profile
| Full Name | Michaela Renee Overturf |
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| Gender | Female |
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| Speciality | Dermatology |
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| Experience | 13 Years |
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| Location | 3611 North St Ste 140, Nacogdoches, Texas |
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| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Michaela Renee Overturf attended and graduated from University Of Texas Medical Branch At Galveston in 2011
NPI Data:
- NPI Number: 1144514803
- Provider Enumeration Date: 05/30/2011
- Last Update Date: 07/21/2022
Medicare PECOS Information:
- PECOS PAC ID: 5294048906
- Enrollment ID: I20150723007458
Medical Identifiers
Medical identifiers for Michaela Renee Overturf such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1144514803 | NPI | - | NPPES |
| 558763 | Other | TX | PHYSICIAN IN TRAINING PERMIT |
| 8FA656 | Other | TX | BCBS PV # |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207N00000X | Dermatology | Q2176 (Texas) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Oliver Street 5.01(a) Inc | 0042464125 | 144 |
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. Michaela Renee Overturf allows following entities to bill medicare on her behalf.
| Entity Name | Oliver Street 5.01(a) Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1457695413
PECOS PAC ID: 0042464125
Enrollment ID: O20130128000189 |
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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. Michaela Renee Overturf 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 |
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Michaela Renee Overturf, MD
5310 Harvest Hill Rd Ste 290,
Dallas, TX 75230-5826
Ph: (214) 420-0672 | Michaela Renee Overturf, MD
3611 North St Ste 140,
Nacogdoches, TX 75965-2478
Ph: (936) 585-7700 |
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