Bryan Mitra Kamalaker, DO is a medicare enrolled "Student In An Organized Health Care Education/training Program" physician in Waxahachie, Texas. His current practice location is
2460 N Interstate 35e, Suite 100, Waxahachie, Texas. You can reach out to his office (for appointments etc.) via phone at
(469) 800-9500.
Bryan Mitra Kamalaker is licensed to practice in * (Not Available) (license number ) 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 1952050080.
Physician's Profile
Full Name | Bryan Mitra Kamalaker |
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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 | 2460 N Interstate 35e, Waxahachie, 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: 1952050080
- Provider Enumeration Date: 03/23/2022
- Last Update Date: 07/03/2025
Medicare PECOS Information:
- PECOS PAC ID: 2163803719
- Enrollment ID: I20220714000644
Medical Identifiers
Medical identifiers for Bryan Mitra Kamalaker such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1952050080 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207R00000X | Internal Medicine | V7921 (Texas) | Secondary |
390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | 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. Bryan Mitra Kamalaker 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 |
Bryan Mitra Kamalaker, DO 2460 N Interstate 35e, Suite 100, Waxahachie, TX 75165 Ph: (469) 800-9500 | Bryan Mitra Kamalaker, DO 2460 N Interstate 35e, Suite 100, Waxahachie, TX 75165 Ph: (469) 800-9500 |
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