Dr Katie Lou King, MD is a medicare enrolled "Student In An Organized Health Care Education/training Program" physician in Dallas, Texas. Her current practice location is
3500 Gaston Ave, Dallas, Texas. You can reach out to her office (for appointments etc.) via phone at
(214) 820-2361.
Dr Katie Lou King is licensed to practice in * (Not Available) (license number ) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1184157240.
Physician's Profile
Full Name | Dr Katie Lou King |
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Gender | Female |
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Speciality | Student In An Organized Health Care Education/training Program |
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Location | 3500 Gaston Ave, Dallas, Texas |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1184157240
- Provider Enumeration Date: 04/06/2017
- Last Update Date: 07/22/2023
Medicare PECOS Information:
- PECOS PAC ID: 1658649496
- Enrollment ID: I20170620000128
Medical Identifiers
Medical identifiers for Dr Katie Lou King such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1184157240 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
2084P0804X | Psychiatry & Neurology - Child & Adolescent Psychiatry | 315821 (New York) | Secondary |
390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | Primary |
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 Katie Lou King 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 Katie Lou King, MD 51 Tierney Rd, Bay City, MI 48708-9123 Ph: (989) 798-2402 | Dr Katie Lou King, MD 3500 Gaston Ave, Dallas, TX 75246-2017 Ph: (214) 820-2361 |
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