Dr Samuel V Davila, MD - Medicare Internal Medicine in Fort Worth, TX

Dr Samuel V Davila, MD is a medicare enrolled "Internal Medicine" physician in Fort Worth, Texas. He went to University Of Texas Southwestern Medical School At Dallas and graduated in 2005 and has 19 years of diverse experience with area of expertise as Internal Medicine. He is a member of the group practice Medical Clinic Of North Texas, Pllc and his current practice location is 5450 Clearfork Main St Ste 300, Fort Worth, Texas. You can reach out to his office (for appointments etc.) via phone at (817) 334-1400.

Dr Samuel V Davila is licensed to practice in Texas (license number M8621) 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 1023227063.

Contact Information

Dr Samuel V Davila, MD
5450 Clearfork Main St Ste 300,
Fort Worth, TX 76109-3559
(817) 334-1400
(817) 334-1410

Map and Direction




Physician's Profile

Full NameDr Samuel V Davila
GenderMale
SpecialityInternal Medicine
Experience19 Years
Location5450 Clearfork Main St Ste 300, Fort Worth, 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 Samuel V Davila attended and graduated from University Of Texas Southwestern Medical School At Dallas in 2005
  NPI Data:
  • NPI Number: 1023227063
  • Provider Enumeration Date: 05/22/2007
  • Last Update Date: 10/23/2019
  Medicare PECOS Information:
  • PECOS PAC ID: 1759448913
  • Enrollment ID: I20090316000482

Medical Identifiers

Medical identifiers for Dr Samuel V Davila such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1023227063NPI-NPPES
34563201MedicaidTX

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207R00000XInternal Medicine M8621 (Texas)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Medical Clinic Of North Texas, Pllc9830084540220

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 Samuel V Davila allows following entities to bill medicare on his behalf.
Entity NameMedical Clinic Of North Texas, Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1033167234
PECOS PAC ID: 9830084540
Enrollment ID: O20040430001258

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 Samuel V Davila 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 Samuel V Davila, MD
5450 Clearfork Main St Ste 300,
Fort Worth, TX 76109-3559

Ph: (817) 334-1400
Dr Samuel V Davila, MD
5450 Clearfork Main St Ste 300,
Fort Worth, TX 76109-3559

Ph: (817) 334-1400

Reviews and Comments


Internal Medicine Doctors in Fort Worth, TX

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Cheryl K Mcdonald, M.D.
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Phone: 817-810-9810    Fax: 817-810-9815

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.