Mitra Salighedar Doty, DO is a medicare enrolled "Family Medicine" physician in Caddo Mills, Texas. Her current practice location is
4264 State Highway 66 Ste A, Caddo Mills, Texas. You can reach out to her office (for appointments etc.) via phone at
(903) 408-5000.
Mitra Salighedar Doty is licensed to practice in Texas (license number V0382) 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 1033671219.
Physician's Profile
Full Name | Mitra Salighedar Doty |
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Gender | Female |
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Speciality | Family Medicine |
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Location | 4264 State Highway 66 Ste A, Caddo Mills, 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: 1033671219
- Provider Enumeration Date: 04/04/2019
- Last Update Date: 01/17/2025
Medicare PECOS Information:
- PECOS PAC ID: 2062748882
- Enrollment ID: I20220811003361
Medical Identifiers
Medical identifiers for Mitra Salighedar Doty such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1033671219 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207Q00000X | Family Medicine | 34.015666 (Ohio) | Secondary |
207Q00000X | Family Medicine | V0382 (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. Mitra Salighedar Doty allows following entities to bill medicare on her behalf.
Entity Name | Partners Physician Group |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1841239274 PECOS PAC ID: 4183529340 Enrollment ID: O20031202000183 |
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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. Mitra Salighedar Doty 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 |
Mitra Salighedar Doty, DO 501 Air Park Ave, Greenville, TX 75402-3000 Ph: (903) 408-1100 | Mitra Salighedar Doty, DO 4264 State Highway 66 Ste A, Caddo Mills, TX 75135-6270 Ph: (903) 408-5000 |
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