Carlos E Pancorvo, MD - Medicare Nephrology in Desoto, TX

Carlos E Pancorvo, MD is a medicare enrolled "Internal Medicine - Nephrology" physician in Desoto, Texas. He graduated from medical school in 1993 and has 31 years of diverse experience with area of expertise as Nephrology. He is a member of the group practice Dallas Nephrology Associates and his current practice location is 2651 Bolton Boone Dr, Desoto, Texas. You can reach out to his office (for appointments etc.) via phone at (214) 358-2300.

Carlos E Pancorvo is licensed to practice in Texas (license number L0482) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1417928573.

Contact Information

Carlos E Pancorvo, MD
2651 Bolton Boone Dr,
Desoto, TX 75115-2011
(214) 358-2300
(214) 579-6941



Physician's Profile

Full NameCarlos E Pancorvo
GenderMale
SpecialityNephrology
Experience31 Years
Location2651 Bolton Boone Dr, Desoto, Texas
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Carlos E Pancorvo graduated from medical school in 1993
  NPI Data:
  • NPI Number: 1417928573
  • Provider Enumeration Date: 01/27/2006
  • Last Update Date: 01/17/2024
  Medicare PECOS Information:
  • PECOS PAC ID: 0446374979
  • Enrollment ID: I20100903000735

Medical Identifiers

Medical identifiers for Carlos E Pancorvo such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1417928573NPI-NPPES
L0482OtherTXTX MEDICAL LICENSE

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207RN0300XInternal Medicine - Nephrology L0482 (Texas)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Desoto Regional Dialysis Center LlcDesoto, TXDialysis facility
Methodist Charlton Medical CenterDallas, TXHospital
Baylor Scott & White Medical Center- WaxahachieWaxahachie, TXHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Dallas Nephrology Associates3870403819128

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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. Carlos E Pancorvo allows following entities to bill medicare on his behalf.
Entity NameDallas Nephrology Associates
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1861440109
PECOS PAC ID: 3870403819
Enrollment ID: O20040624000638

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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. Carlos E Pancorvo 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 AddressPractice Location Address
Carlos E Pancorvo, MD
1505 Lbj Fwy Ste 700,
Dallas, TX 75234-6065

Ph: (214) 358-2300
Carlos E Pancorvo, MD
2651 Bolton Boone Dr,
Desoto, TX 75115-2011

Ph: (214) 358-2300

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Internal Medicine Doctors in Desoto, TX

Dr. Vincent Peter Barr, MD
Nephrology
Medicare: Not Enrolled in Medicare
Practice Location: 2707 Bolton Boone Dr, Suite 101, Desoto, TX 75115
Phone: 972-296-8885    Fax: 972-296-8935
Dr. Diana A Zulueta, M.D.
Nephrology
Medicare: Not Enrolled in Medicare
Practice Location: 1801 North Hampton Rd, # 205, Desoto, TX 75115
Phone: 469-585-1297    Fax: 972-499-1364
Dr. Vineel Kankanala, M.D.
Nephrology
Medicare: Accepting Medicare Assignments
Practice Location: 2811 Duke Of Gloucester St Ste 101, Desoto, TX 75115
Phone: 972-780-7300    Fax: 972-780-5817
Nallu R Reddy, MD
Nephrology
Medicare: Accepting Medicare Assignments
Practice Location: 2727 Bolton Boone Dr, Ste 111, Desoto, TX 75115
Phone: 972-780-0357    Fax: 972-780-7829
Omar Farrukh, MD
Nephrology
Medicare: Accepting Medicare Assignments
Practice Location: 2651 Bolton Boone Dr, Desoto, TX 75115
Phone: 214-358-2300    Fax: 214-579-6990
Dr. Donald Gene Nicholas Jr., M.D.
Nephrology
Medicare: Accepting Medicare Assignments
Practice Location: 1013 Hickory Bend Dr, Desoto, TX 75115
Phone: 972-224-9090    
Dr. Mahesh B Kottapalli, MD
Nephrology
Medicare: May Accept Medicare Assignments
Practice Location: 2727 Bolton Boone Dr, 109, Desoto, TX 75115
Phone: 972-283-2370    Fax: 972-296-0311

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