Dr Juan Carlos Martinez Grullon, MD in Fort Worth, TX

Dr Juan Carlos Martinez Grullon, MD is a medicare enrolled "Surgery - Plastic And Reconstructive Surgery" physician in Fort Worth, Texas. His current practice location is 1250 8th Ave Ste 265, Fort Worth, Texas. You can reach out to his office (for appointments etc.) via phone at (682) 200-8580.

Dr Juan Carlos Martinez Grullon is licensed to practice in Texas (license number T3999) 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 1154589950.

Contact Information

	Dr Juan Carlos Martinez Grullon, MD
	1250 8th Ave Ste 265, Fort Worth, TX 76104-4124
	(682) 200-8580
	(682) 200-8581

Map and Direction

Physician's Profile

Full Name	Dr Juan Carlos Martinez Grullon
Gender	Male
Speciality	Surgery - Plastic And Reconstructive Surgery
Location	1250 8th Ave Ste 265, Fort Worth, Texas
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1154589950
Provider Enumeration Date: 05/28/2008
Last Update Date: 10/28/2022

Medicare PECOS Information:

PECOS PAC ID: 5496982852
Enrollment ID: I20131211000863

Medical Identifiers

Medical identifiers for Dr Juan Carlos Martinez Grullon such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1154589950	NPI	-	NPPES
0182590	Medicaid	OH

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208200000X	Plastic Surgery	MD448858 (Pennsylvania)	Secondary
208200000X	Plastic Surgery	T3999 (Texas)	Secondary
2086S0122X	Surgery - Plastic And Reconstructive Surgery	T3999 (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. Dr Juan Carlos Martinez Grullon allows following entities to bill medicare on his behalf.

Entity Name	St Lukes Physician Group Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1700984622 PECOS PAC ID: 6709798333 Enrollment ID: O20040226000062

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 Juan Carlos Martinez Grullon 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 Juan Carlos Martinez Grullon, MD 1250 8th Ave, Ste 265, Fort Worth, TX 76104-4124 Ph: (682) 200-8580	Dr Juan Carlos Martinez Grullon, MD 1250 8th Ave Ste 265, Fort Worth, TX 76104-4124 Ph: (682) 200-8580

Reviews and Comments

Surgery Doctors in Fort Worth, TX

Amelia Brooke Tower, DO Surgery Medicare: Accepting Medicare Assignments Practice Location: 1300 W Terrell Ave Ste 420, Fort Worth, TX 76104 Phone: 817-250-6570
Dr. Travis Corgan, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 800 8th Ave, Suite 306, Fort Worth, TX 76104 Phone: 682-224-3748 Fax: 682-841-0039
Robert G Snow, DO Surgery Medicare: Accepting Medicare Assignments Practice Location: 2501 Parkview Dr Ste 560, Fort Worth, TX 76102 Phone: 817-850-1100 Fax: 817-850-1104
Mohammad Alqaim, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 1250 8th Ave Ste 200, Fort Worth, TX 76104 Phone: 817-912-8238
Ryan Kostka, D.O. Surgery Medicare: Accepting Medicare Assignments Practice Location: 1500 S Main St Fl 2, Fort Worth, TX 76104 Phone: 817-702-3000 Fax: 817-927-3958
Dr. Nabeel M Shabout, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 3848 N Tarrant Pkwy Ste 100, Fort Worth, TX 76244 Phone: 817-753-6917 Fax: 817-753-6921
Miss Ruth Ellen Jones, M. D. Surgery Medicare: Medicare Enrolled Practice Location: 1500 Cooper St, Fort Worth, TX 76104 Phone: 682-885-7080 Fax: 682-885-7085

Dr Juan Carlos Martinez Grullon, MD - Medicare Surgery in Fort Worth, TX