Dr Kathleen Louise Shide, MD in Fort Worth, TX

Dr Kathleen Louise Shide, MD is a medicare enrolled "Radiology - Radiation Oncology" physician in Fort Worth, Texas. She went to University Of Texas Southwestern Medical School At Dallas and graduated in 1996 and has 28 years of diverse experience with area of expertise as Radiation Oncology. She is a member of the group practice Texas Oncology Pa and her current practice location is 500 S Henderson St Ste 200, Fort Worth, Texas. You can reach out to her office (for appointments etc.) via phone at (174) 131-5008.

Dr Kathleen Louise Shide is licensed to practice in Texas (license number K3007) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1073550455.

Contact Information

	Dr Kathleen Louise Shide, MD
	500 S Henderson St Ste 200, Fort Worth, TX 76104-2154
	(174) 131-5008
	(817) 413-1499

Map and Direction

Physician's Profile

Full Name	Dr Kathleen Louise Shide
Gender	Female
Speciality	Radiation Oncology
Experience	28 Years
Location	500 S Henderson St Ste 200, Fort Worth, Texas
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Dr Kathleen Louise Shide attended and graduated from University Of Texas Southwestern Medical School At Dallas in 1996

NPI Data:

NPI Number: 1073550455
Provider Enumeration Date: 06/02/2006
Last Update Date: 12/09/2021

Medicare PECOS Information:

PECOS PAC ID: 9638159379
Enrollment ID: I20040722000945

Medical Identifiers

Medical identifiers for Dr Kathleen Louise Shide such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1073550455	NPI	-	NPPES
8S3355	Other	TX	BLUE CROSS OF TEXAS
166057303	Medicaid	TX
166057302	Medicaid	TX

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
2085R0001X	Radiology - Radiation Oncology	K3007 (Texas)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Texas Oncology Pa	5395658934	855

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 Kathleen Louise Shide allows following entities to bill medicare on her behalf.

Entity Name	Texas Oncology Pa
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1811944101 PECOS PAC ID: 5395658934 Enrollment ID: O20031124000323

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 Kathleen Louise Shide 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 Kathleen Louise Shide, MD Po Box 911230, Dallas, TX 75391-1230 Ph: (972) 997-8000	Dr Kathleen Louise Shide, MD 500 S Henderson St Ste 200, Fort Worth, TX 76104-2154 Ph: (174) 131-5008

Reviews and Comments

Radiology Doctors in Fort Worth, TX

Kelly C Starkey, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 815 Pennsylvania Ave, Fort Worth, TX 76104 Phone: 817-321-0404 Fax: 469-522-6889
Dr. Mark Sohner, M.D. Radiology Medicare: Medicare Enrolled Practice Location: 815 Pennsylvania Ave, Fort Worth, TX 76104 Phone: 173-210-4048
Dr. John A Queralt, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 815 Pennsylvania Ave, Fort Worth, TX 76104 Phone: 817-321-0312 Fax: 817-317-7033
Dr. Robert Joseph Reeb Jr., MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 815 Pennsylvania Ave, Fort Worth, TX 76104 Phone: 817-321-0312 Fax: 817-317-7033
Eugenia Payne, M.D Radiology Medicare: Accepting Medicare Assignments Practice Location: 815 Pennsylvania Ave, Fort Worth, TX 76104 Phone: 817-321-0404
Prakash Gajera, Radiology Medicare: Medicare Enrolled Practice Location: 815 Pennsylvania Ave, Fort Worth, TX 76104 Phone: 817-321-0404
Dr. Jeffrey Scott Wenzel, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 815 Pennsylvania Ave, Fort Worth, TX 76104 Phone: 817-321-0387

Dr Kathleen Louise Shide, MD - Medicare Radiation Oncology in Fort Worth, TX