Kathleen Grove Underwood, is a medicare enrolled "Physician Assistant" in Celina, Texas. Her current practice location is
512 W Maple St, Celina, Texas. You can reach out to her office (for appointments etc.) via phone at
(214) 385-1765.
Kathleen Grove Underwood is licensed to practice in Texas (license number PA17792) 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 1811754633.
Provider's Profile
Full Name | Kathleen Grove Underwood |
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Gender | Female |
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Speciality | Physician Assistant |
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Location | 512 W Maple St, Celina, 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: 1811754633
- Provider Enumeration Date: 02/28/2024
- Last Update Date: 03/26/2024
Medicare PECOS Information:
- PECOS PAC ID: 9830531680
- Enrollment ID: I20240523004068
Medical Identifiers
Medical identifiers for Kathleen Grove Underwood such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1811754633 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
363A00000X | Physician Assistant | PA17792 (Texas) | Primary |
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. Kathleen Grove Underwood 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 |
Kathleen Grove Underwood, 515 W Mayfield Rd Ste 301, Arlington, TX 76014-2085 Ph: () - | Kathleen Grove Underwood, 512 W Maple St, Celina, TX 75009-6122 Ph: (214) 385-1765 |
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