Donald G Middleton, MD - Medicare Emergency Medicine in Winnsboro, TX

Donald G Middleton, MD is a medicare enrolled "Emergency Medicine" physician in Winnsboro, Texas. His current practice location is 719 W Coke Rd, Winnsboro, Texas. You can reach out to his office (for appointments etc.) via phone at (903) 342-5227.

Donald G Middleton is licensed to practice in Texas (license number F1822) 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 1033152517.

Contact Information

Donald G Middleton, MD
719 W Coke Rd,
Winnsboro, TX 75494-3011
(903) 342-5227
Not Available

Map and Direction




Physician's Profile

Full NameDonald G Middleton
GenderMale
SpecialityEmergency Medicine
Location719 W Coke Rd, Winnsboro, Texas
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1033152517
  • Provider Enumeration Date: 06/13/2006
  • Last Update Date: 02/11/2008
  Medicare PECOS Information:
  • PECOS PAC ID: 6002886850
  • Enrollment ID: I20150205000415

Medical Identifiers

Medical identifiers for Donald G Middleton such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1033152517NPI-NPPES
0091MPOtherTXBCBS

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207P00000XEmergency Medicine F1822 (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. Donald G Middleton allows following entities to bill medicare on his behalf.
Entity NameConcord Medical Group Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1083630610
PECOS PAC ID: 0446296818
Enrollment ID: O20050707000531
Entity NameWellness & Care Group Of Texas, Inc.
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1487964870
PECOS PAC ID: 8921287475
Enrollment ID: O20110128001026

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. Donald G Middleton 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
Donald G Middleton, MD
Po Box 8549,
Fort Worth, TX 76124-0549

Ph: (817) 451-4208
Donald G Middleton, MD
719 W Coke Rd,
Winnsboro, TX 75494-3011

Ph: (903) 342-5227

Reviews and Comments


Emergency Medicine Doctors in Winnsboro, TX

John W Hawronsky, MD
Emergency Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 719 W Coke Rd, Winnsboro, TX 75494
Phone: 903-342-5227    
Paul Driver, DO
Emergency Medicine
Medicare: Medicare Enrolled
Practice Location: 719 W Coke Rd, Winnsboro, TX 75494
Phone: 903-342-5227    
Dr. David Harrison, M.D.
Emergency Medicine
Medicare: Medicare Enrolled
Practice Location: 719 W Coke Rd, Winnsboro, TX 75494
Phone: 903-342-5227    
John Winningham, DO
Emergency Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 719 W Coke Rd, Winnsboro, TX 75494
Phone: 903-342-5227    
Troy L Miller, MD
Emergency Medicine
Medicare: Medicare Enrolled
Practice Location: 719 W Coke Rd, Winnsboro, TX 75494
Phone: 903-342-5227    
Dr. Joseph Richard Pelli Jr., M.D.
Emergency Medicine
Medicare: Medicare Enrolled
Practice Location: 719 W Coke Rd, Winnsboro, TX 75494
Phone: 903-342-5227    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.