Dr Fredrick Wayne Kersh, DO - Medicare Family Medicine in Tyler, TX

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Dr Fredrick Wayne Kersh, DO is a medicare enrolled "Family Medicine" physician in Tyler, Texas. His current practice location is 3110 Park Center Dr, Tyler, Texas. You can reach out to his office (for appointments etc.) via phone at (903) 593-9999.

Dr Fredrick Wayne Kersh is licensed to practice in Texas (license number H4460) 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 1871537621.

Contact Information

Dr Fredrick Wayne Kersh, DO
3110 Park Center Dr,
Tyler, TX 75701-9215
(903) 593-9999
(903) 526-4239

Map and Direction




Physician's Profile

Full NameDr Fredrick Wayne Kersh
GenderMale
SpecialityFamily Medicine
Location3110 Park Center Dr, Tyler, Texas
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1871537621
  • Provider Enumeration Date: 06/15/2006
  • Last Update Date: 12/06/2019
  Medicare PECOS Information:
  • PECOS PAC ID: 5890774657
  • Enrollment ID: I20040715000576

Medical Identifiers

Medical identifiers for Dr Fredrick Wayne Kersh such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1871537621NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine H4460 (Texas)Primary
207P00000XEmergency Medicine H4460 (Texas)Secondary
2083P0500XPreventive Medicine - Preventive Medicine/occupational Environmental Medicine H4460 (Texas)Secondary

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 Fredrick Wayne Kersh allows following entities to bill medicare on his behalf.
Entity NameAngelina Emergency Medicine Associates Pa
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1518397298
PECOS PAC ID: 5395973564
Enrollment ID: O20140115000579
Entity NameTk Emergency Physicians Group Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1942728019
PECOS PAC ID: 2567799091
Enrollment ID: O20190807000556
Entity NameAustin Er Associates Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1376114587
PECOS PAC ID: 0648715680
Enrollment ID: O20240715000085

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 Fredrick Wayne Kersh 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 Fredrick Wayne Kersh, DO
Po Box 130757,
Tyler, TX 75713-0757

Ph: (903) 593-9999		Dr Fredrick Wayne Kersh, DO
3110 Park Center Dr,
Tyler, TX 75701-9215

Ph: (903) 593-9999

Reviews and Comments


Family Medicine Doctors in Tyler, TX

Dr. John W Scroggins, MD
Family Medicine
Medicare: Medicare Enrolled
Practice Location: 8288 S Broadway Ave, Tyler, TX 75703
Phone: 903-606-7060    
Dr. James Kent Gray, M.D.
Family Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 14843 Big Oak Bay Rd, Tyler, TX 75707
Phone: 903-655-0880    Fax: 903-654-6415
Dr. Eric R Smith, MD
Family Medicine
Medicare: Medicare Enrolled
Practice Location: 3802 Manhatton, Tyler, TX 75701
Phone: 903-509-8888    
Michele C Bosworth, MD
Family Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 11937 Us Highway 271, Tyler, TX 75708
Phone: 903-877-7777    Fax: 903-877-5080
Dr. James A Lively, MD
Family Medicine
Medicare: Medicare Enrolled
Practice Location: 3802 Manhatton Dr, Tyler, TX 75701
Phone: 903-509-8888    
Steven J Cohen, MD
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 1327 Troup Hwy, Tyler, TX 75701
Phone: 903-510-8764    
Andrea M Ellis, MD
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 8288 S Broadway Ave, Tyler, TX 75703
Phone: 903-606-7060    

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.