Allen Fellers, is a medicare enrolled "Student In An Organized Health Care Education/training Program" physician in Conroe, Texas. His current practice location is
605 S Conroe Medical Dr, Conroe, Texas. You can reach out to his office (for appointments etc.) via phone at
(936) 539-4004.
Allen Fellers is licensed to practice in Texas (license number BP10090258) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1417717158.
Physician's Profile
| Full Name | Allen Fellers |
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| Gender | Male |
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| Speciality | Student In An Organized Health Care Education/training Program |
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| Location | 605 S Conroe Medical Dr, Conroe, 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: 1417717158
- Provider Enumeration Date: 03/20/2024
- Last Update Date: 03/19/2026
Medicare PECOS Information:
- PECOS PAC ID: 6709227622
- Enrollment ID: I20240509002224
Medical Identifiers
Medical identifiers for Allen Fellers such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1417717158 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 207Q00000X | Family Medicine | W0900 (Texas) | Secondary |
| 390200000X | Student In An Organized Health Care Education/training Program | BP10090258 (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. Allen Fellers 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 |
Allen Fellers, 605 S Conroe Medical Dr, Conroe, TX 77304-4722 Ph: (936) 539-4004 | Allen Fellers, 605 S Conroe Medical Dr, Conroe, TX 77304-4722 Ph: (936) 539-4004 |
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