Dr Mary Elizabeth Shepherd, MD,PHD - Medicare Dermatology in Austin, TX

Dr Mary Elizabeth Shepherd, MD,PHD is a medicare enrolled "Dermatology" physician in Austin, Texas. Her current practice location is 12545 Riata Vista Cir, Austin, Texas. You can reach out to her office (for appointments etc.) via phone at (512) 526-1776.

Dr Mary Elizabeth Shepherd is licensed to practice in Texas (license number H6599) 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 1144210352.

Contact Information

Dr Mary Elizabeth Shepherd, MD,PHD
12545 Riata Vista Cir,
Austin, TX 78727-6524
(512) 526-1776
(512) 298-1277



Physician's Profile

Full NameDr Mary Elizabeth Shepherd
GenderFemale
SpecialityDermatology
Location12545 Riata Vista Cir, Austin, Texas
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1144210352
  • Provider Enumeration Date: 10/27/2005
  • Last Update Date: 09/30/2020
  Medicare PECOS Information:
  • PECOS PAC ID: 6406917913
  • Enrollment ID: I20081202000788

Medical Identifiers

Medical identifiers for Dr Mary Elizabeth Shepherd such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1144210352NPI-NPPES
8B8802OtherTXBLUE CROSS BLUE SHIELD
105402503MedicaidTX

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207N00000XDermatology H6599 (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. Dr Mary Elizabeth Shepherd allows following entities to bill medicare on her behalf.
Entity NameOliver Street 5.01(a) Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI 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. Dr Mary Elizabeth Shepherd 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
Dr Mary Elizabeth Shepherd, MD,PHD
Po Box 171179,
Austin, TX 78717-0041

Ph: (512) 526-1776
Dr Mary Elizabeth Shepherd, MD,PHD
12545 Riata Vista Cir,
Austin, TX 78727-6524

Ph: (512) 526-1776

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Dermatology Doctors in Austin, TX

Dr. John Joseph Ghidoni Iii, MD
Dermatology
Medicare: Accepting Medicare Assignments
Practice Location: 8229 Shoal Creek Blvd, Suite#101, Austin, TX 78757
Phone: 512-371-7400    Fax: 512-371-7488
Moise Levy, MD
Dermatology
Medicare: Medicare Enrolled
Practice Location: 1301 Barbara Jordan Blvd Ste 200, Austin, TX 78723
Phone: 512-628-1920    Fax: 512-628-1921
Dr. Susan Elizabeth Dozier, M.D.
Dermatology
Medicare: Accepting Medicare Assignments
Practice Location: 8240 N Mo Pac Expwy, Suite 355, Austin, TX 78759
Phone: 512-527-9020    Fax: 512-527-9000
Dr. Gregory A. Nikolaidis,
Dermatology
Medicare: Medicare Enrolled
Practice Location: 8825 Bee Cave Rd, Suite 100, Austin, TX 78746
Phone: 512-328-3376    Fax: 512-399-6895
Amy Ayres Mcclung, MD
Dermatology
Medicare: Accepting Medicare Assignments
Practice Location: 9701 Brodie Ln Ste 106, Austin, TX 78748
Phone: 512-280-3939    Fax: 512-280-3938
Stanley Tyler Hollmig, M.D.
Dermatology
Medicare: Accepting Medicare Assignments
Practice Location: 1601 Trinity St Ste 704b, Austin, TX 78712
Phone: 512-324-7468    Fax: 512-324-7469
Dr. Lauren Piilani Rimoin, M.D.
Dermatology
Medicare: Accepting Medicare Assignments
Practice Location: 8825 Bee Caves Rd Ste 100, Austin, TX 78746
Phone: 512-328-3376    Fax: 512-666-3767

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