Dr Fredric Clark Puckett, DO - Medicare Family Practice in Ennis, TX

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Dr Fredric Clark Puckett, DO is a medicare enrolled "Family Medicine" physician in Ennis, Texas. He graduated from medical school in 2006 and has 18 years of diverse experience with area of expertise as Family Practice. He is a member of the group practice Running Buffalo Clover Emergency Physicians Pllc and his current practice location is 2203 W Lampasas St, Suite 205, Ennis, Texas. You can reach out to his office (for appointments etc.) via phone at (972) 875-6200.

Dr Fredric Clark Puckett is licensed to practice in Texas (license number N1080) 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 1154596765.

Contact Information

Dr Fredric Clark Puckett, DO
2203 W Lampasas St, Suite 205,
Ennis, TX 75119-5644
(972) 875-6200
(972) 875-6414

Map and Direction




Physician's Profile

Full NameDr Fredric Clark Puckett
GenderMale
SpecialityFamily Practice
Experience18 Years
Location2203 W Lampasas St, Ennis, Texas
Accepts Medicare AssignmentsYes. 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 Fredric Clark Puckett graduated from medical school in 2006
  NPI Data:
  • NPI Number: 1154596765
  • Provider Enumeration Date: 04/24/2008
  • Last Update Date: 04/05/2022
  Medicare PECOS Information:
  • PECOS PAC ID: 5890848329
  • Enrollment ID: I20090731000397

Medical Identifiers

Medical identifiers for Dr Fredric Clark Puckett such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1154596765NPI-NPPES
208303201MedicaidTX
208303202MedicaidTX

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine N1080 (Texas)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Ennis Regional Medical CenterEnnis, TXHospital
Baylor Scott & White Medical Center- WaxahachieWaxahachie, TXHospital

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 Fredric Clark Puckett allows following entities to bill medicare on his behalf.
Entity NameDr. Fredric Puckett Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1073748562
PECOS PAC ID: 0345393872
Enrollment ID: O20090731000402
Entity NameRunning Buffalo Clover Emergency Physicians Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1699019083
PECOS PAC ID: 6608021068
Enrollment ID: O20130311000116
Entity NameIntegrative Emergency Services Physician Group-houston Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1801458708
PECOS PAC ID: 7113258500
Enrollment ID: O20191016002208

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 Fredric Clark Puckett 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 Fredric Clark Puckett, DO
2203 W Lampasas St Ste 111,
Ennis, TX 75119-5667

Ph: (972) 875-6200		Dr Fredric Clark Puckett, DO
2203 W Lampasas St, Suite 205,
Ennis, TX 75119-5644

Ph: (972) 875-6200

Reviews and Comments


Family Medicine Doctors in Ennis, TX

Dr. John Bruno Arkusinski, D.O.
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 206 S Clay St Ste A, Ennis, TX 75119
Phone: 469-256-2525    Fax: 469-256-2164
Thomas Tran, M.D.
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 2203 W Ennis Ave, Suite 300, Ennis, TX 75119
Phone: 972-875-2858    Fax: 972-875-2928
Dr. Stefanie Nicole Rust, D.O.
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 2201 West Lampasas Street, Ennis, TX 75119
Phone: 972-875-0900    Fax: 469-256-2154
Dr. Danny Blayne Laws, M.D.
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 717 W Lampasas St, Ennis, TX 75119
Phone: 972-875-6700    
Dr. Bill Ray Lee, MD
Family Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 2203 W Lampasas St, Suite 211, Ennis, TX 75119
Phone: 972-875-3997    Fax: 972-875-2545
Dr. Raymond Wesley Blair Jr., MD
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 2203 W Lampasas St Ste 101, Ennis, TX 75119
Phone: 972-875-7799    Fax: 972-878-3031

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.