Dr Fred F Salley, MD is a medicare enrolled "Family Medicine" physician in Bandera, Texas. He went to Texas Tech University Health Science Center School Of Medicine and graduated in 1987 and has 38 years of diverse experience with area of expertise as Family Practice. He is a member of the group practice Peterson Medical Associates and his current practice location is
3540 Hwy 16 S Ste 1d, Bandera, Texas. You can reach out to his office (for appointments etc.) via phone at
(830) 522-2002.
Dr Fred F Salley is licensed to practice in Texas (license number H4669) 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 1821193749.
Physician's Profile
| Full Name | Dr Fred F Salley |
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| Gender | Male |
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| Speciality | Family Practice |
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| Experience | 38 Years |
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| Location | 3540 Hwy 16 S Ste 1d, Bandera, Texas |
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| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Medical Education and Training:
- Dr Fred F Salley attended and graduated from Texas Tech University Health Science Center School Of Medicine in 1987
NPI Data:
- NPI Number: 1821193749
- Provider Enumeration Date: 09/14/2006
- Last Update Date: 04/12/2022
Medicare PECOS Information:
- PECOS PAC ID: 8325176118
- Enrollment ID: I20181011002170
Medical Identifiers
Medical identifiers for Dr Fred F Salley such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1821193749 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 207Q00000X | Family Medicine | H4669 (Texas) | Primary |
| 207Q00000X | Family Medicine | A48377 (California) | Secondary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
| Peterson Medical Associates | 1355467887 | 146 |
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 Fred F Salley allows following entities to bill medicare on his behalf.
| Entity Name | Peterson Medical Associates |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1770800575 PECOS PAC ID: 1355467887 Enrollment ID: O20100922000142 |
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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 Fred F Salley 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 |
Dr Fred F Salley, MD 575 Hill Country Dr Ste 101, Kerrville, TX 78028-6024 Ph: () - | Dr Fred F Salley, MD 3540 Hwy 16 S Ste 1d, Bandera, TX 78003-3560 Ph: (830) 522-2002 |
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