Texas Plastic Surgery Associates, PA
A Medicare group practice based in Fort Worth, TX: 2 NPIs enrolled under one PECOS associate control ID (PAC ID 3274708797), with 4 clinicians.
Medicare enrollment
Medicare enrollment files- PAC ID
- 3274708797
- Provider type
- Part B Supplier - Clinic/Group Practice
- Enrolled in
- TX
- Enrollments
- 1
- Group size
- 4 clinicians
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Practice locations
- 2
Enrollment records 1
| Enrollment ID | State | Provider type | NPI |
|---|---|---|---|
| O20111213000133 | TX | Part B Supplier - Clinic/Group Practice | 1568740892 |
NPIs in this group 2
NPPES NPI RegistryThese NPI records belong to the same enrolled organization. Each has its own page.
-
Texas Plastic Surgery Associates, PA
- Plastic Surgery Physician
- Fort Worth, TX
- NPI 1568740892
-
Texas Plastic Surgery Associates, PA
- Plastic Surgery Physician
- Fort Worth, TX
- NPI 1467730796
Practice locations
- Weatherford, TX1
- Fort Worth, TX1
Clinicians 4
Clinicians who reassign their Medicare benefits to this group (4) or whom Care Compare lists as members (4).
-
Robert G Anderson, MD
- Plastic and Reconstructive Surgery Physician
- Fort Worth, TX
- NPI 1326064270
-
Mark Anthony Daniels, M.D.
- Plastic Surgery Physician
- Fort Worth, TX
- NPI 1346567757
-
Dustin Clifton Derrick, M.D.
- Plastic Surgery Physician
- Fort Worth, TX
- NPI 1295049070
-
Jeremy Joseph, MD
- Student in an Organized Health Care Education/Training Program
- Norfolk, VA
- NPI 1225565203
Sources for this page
- Medicare Fee-For-Service Public Provider Enrollment: the enrollments, PAC ID, practice locations and benefit reassignments.
- Care Compare Doctors and Clinicians: group membership, group size and the name CMS shows patients.
- NPPES NPI Registry: the names and addresses of the NPIs above.