Karen Michelle Barton-nielsen, MD - Medicare Family Medicine in Whitehouse, TX

Karen Michelle Barton-nielsen, MD is a medicare enrolled "Family Medicine" physician in Whitehouse, Texas. Her current practice location is 601 Hwy 110 N Bay 0, Whitehouse, Texas. You can reach out to her office (for appointments etc.) via phone at (903) 839-2585.

Karen Michelle Barton-nielsen is licensed to practice in Texas (license number H6034) 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 1972651313.

Contact Information

Karen Michelle Barton-nielsen, MD
601 Hwy 110 N Bay 0,
Whitehouse, TX 75791-3037
(903) 839-2585
(903) 839-3165

Map and Direction




Physician's Profile

Full NameKaren Michelle Barton-nielsen
GenderFemale
SpecialityFamily Medicine
Location601 Hwy 110 N Bay 0, Whitehouse, Texas
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1972651313
  • Provider Enumeration Date: 01/08/2007
  • Last Update Date: 12/08/2014
  Medicare PECOS Information:
  • PECOS PAC ID: 9133292329
  • Enrollment ID: I20080722000138

Medical Identifiers

Medical identifiers for Karen Michelle Barton-nielsen such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1972651313NPI-NPPES
047364704MedicaidTX
047364702MedicaidTX
TIN PLUS 001OtherTXTRICARE CANTON LOCATION
8BC403OtherTXBCBS OF TEXAS
TIN PLUS 023OtherTXTRICARE WHITHOUSE LOCATION
TIN PLUS 028OtherTXTRICARE LINDALE LOCATION
TIN PLUS 042OtherTXTRICARE WOUND CARE LOCATION
8B9735OtherTXBCBS

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine H6034 (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. Karen Michelle Barton-nielsen allows following entities to bill medicare on her behalf.
Entity NameChristus Trinity Clinic
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1285684225
PECOS PAC ID: 3072426741
Enrollment ID: O20031204001091

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. Karen Michelle Barton-nielsen 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
Karen Michelle Barton-nielsen, MD
Po Box 846098,
Dallas, TX 75284-6098

Ph: (903) 324-6450
Karen Michelle Barton-nielsen, MD
601 Hwy 110 N Bay 0,
Whitehouse, TX 75791-3037

Ph: (903) 839-2585

Reviews and Comments


Family Medicine Doctors in Whitehouse, TX

Dr. Michael John Racs, DO
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 601 Hwy 110 N, Whitehouse, TX 75791
Phone: 903-839-1775    Fax: 903-839-1788
Amy L Mullins, MD
Family Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 601 Hwy 110 N, Bay O, Whitehouse, TX 75791
Phone: 903-839-2585    Fax: 903-839-3165
Dr. Rodney Marvin Wiseman, D.O.
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: #400 Hwy 110 N, Whitehouse, TX 75791
Phone: 903-839-4396    Fax: 903-839-8705
Mr. Earl Pat Wright, M.D.
Family Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 15632 Hwy 110 South, Suite 19, Whitehouse, TX 75791
Phone: 903-871-2132    Fax: 903-871-2333
Janet Hurley, MD
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 601 N Highway 110, Bay O, Whitehouse, TX 75791
Phone: 903-839-2585    

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.