Mary Courtenay Hamblen, DO in Fort Worth, TX - Medicare Emergency Medicine

Mary Courtenay Hamblen, DO is a medicare enrolled "Internal Medicine - Critical Care Medicine" physician in Fort Worth, Texas. She graduated from medical school in 2021 and has 5 years of diverse experience with area of expertise as Emergency Medicine. She is a member of the group practice Wake Forest Emergency Providers and her current practice location is 1500 S Main St, Fort Worth, Texas. You can reach out to her office (for appointments etc.) via phone at (817) 702-2799.

Mary Courtenay Hamblen is licensed to practice in Texas (license number U5708) 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 1760069405.

Contact Information

	Mary Courtenay Hamblen, DO
	1500 S Main St, Fort Worth, TX 76104-4917
	(817) 702-2799
	(817) 702-2140

Map and Direction

Physician's Profile

Full Name	Mary Courtenay Hamblen
Gender	Female
Speciality	Emergency Medicine
Experience	5 Years
Location	1500 S Main St, 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:

Mary Courtenay Hamblen graduated from medical school in 2021

NPI Data:

NPI Number: 1760069405
Provider Enumeration Date: 03/27/2021
Last Update Date: 03/02/2026

Medicare PECOS Information:

PECOS PAC ID: 0840646501
Enrollment ID: I20241210000943

Medical Identifiers

Medical identifiers for Mary Courtenay Hamblen such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1760069405	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207P00000X	Emergency Medicine	2024-01212 (North Carolina)	Secondary
207RC0200X	Internal Medicine - Critical Care Medicine	U5708 (Texas)	Primary
207P00000X	Emergency Medicine	U5708 (Texas)	Secondary
390200000X	Student In An Organized Health Care Education/training Program	(* (Not Available))	Secondary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Wake Forest Emergency Providers	7012819816	310

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. Mary Courtenay Hamblen allows following entities to bill medicare on her behalf.

Entity Name	Wake Forest Emergency Providers
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1396216735 PECOS PAC ID: 7012819816 Enrollment ID: O20190312003619

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. Mary Courtenay Hamblen 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
Mary Courtenay Hamblen, DO 200 W Magnolia Ave Ste 201, Fort Worth, TX 76104-7657 Ph: (817) 702-2799	Mary Courtenay Hamblen, DO 1500 S Main St, Fort Worth, TX 76104-4917 Ph: (817) 702-2799

Reviews and Comments

Internal Medicine Doctors in Fort Worth, TX

Gayane Tumyan, MD Critical Care Medicine Medicare: Not Enrolled in Medicare Practice Location: 600 S Main St, Fort Worth, TX 76104 Phone: 817-882-2420
Charles A Carlton, MD Critical Care Medicine Medicare: Accepting Medicare Assignments Practice Location: 1622 8th Avenue, Suite 110, Fort Worth, TX 76104 Phone: 817-926-2561 Fax: 817-921-3708
Paul J Garcia, DO Critical Care Medicine Medicare: Accepting Medicare Assignments Practice Location: 5701 Bryant Irvin Rd, Suite 302, Fort Worth, TX 76132 Phone: 817-294-9000 Fax: 817-294-9010
Stevan A Gonzalez, MD Critical Care Medicine Medicare: Accepting Medicare Assignments Practice Location: 1250 8th Ave, Suite 515, Fort Worth, TX 76104 Phone: 817-922-4675 Fax: 817-922-4645
Christian Nguyen, DO Critical Care Medicine Medicare: Not Enrolled in Medicare Practice Location: 1300 W Terrell Ave Ste K230, Fort Worth, TX 76104 Phone: 817-250-4906 Fax: 817-250-1815
Elie B Choufani, M.D. Critical Care Medicine Medicare: Accepting Medicare Assignments Practice Location: 601 W Terrell Ave, Fort Worth, TX 76104 Phone: 817-852-8305
Syed Hadi Jafri, MD Critical Care Medicine Medicare: Accepting Medicare Assignments Practice Location: 1300 W Terrell Ave Fl 2, Fort Worth, TX 76104 Phone: 817-820-4906 Fax: 817-820-4815

Mary Courtenay Hamblen, DO - Medicare Emergency Medicine in Fort Worth, TX