Mary Dorgant Mcclean, MD is a medicare enrolled "Dermatology" physician in Brenham, Texas. Her current practice location is
1910 Niebuhr St, Brenham, Texas. You can reach out to her office (for appointments etc.) via phone at
(713) 791-9966.
Mary Dorgant Mcclean is licensed to practice in Texas (license number R3656) 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 1356784011.
Physician's Profile
Full Name | Mary Dorgant Mcclean |
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Gender | Female |
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Speciality | Dermatology |
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Location | 1910 Niebuhr St, Brenham, 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: 1356784011
- Provider Enumeration Date: 04/12/2013
- Last Update Date: 02/12/2025
Medicare PECOS Information:
- PECOS PAC ID: 0547637910
- Enrollment ID: I20221028000609
Medical Identifiers
Medical identifiers for Mary Dorgant Mcclean such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1356784011 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
208000000X | Pediatrics | R3656 (Texas) | Secondary |
207N00000X | Dermatology | R3656 (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. Mary Dorgant Mcclean allows following entities to bill medicare on her behalf.
Entity Name | Derm Surgery Associates P.a. |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1023165438 PECOS PAC ID: 9436124278 Enrollment ID: O20040826000657 |
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Entity Name | Bayou City Dermatology Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1376014464 PECOS PAC ID: 3577801554 Enrollment ID: O20190218001137 |
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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 Dorgant Mcclean 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 Dorgant Mcclean, MD 6700 West Loop S Ste 500, Bellaire, TX 77401-4120 Ph: (713) 791-9966 | Mary Dorgant Mcclean, MD 1910 Niebuhr St, Brenham, TX 77833-5037 Ph: (713) 791-9966 |
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