Mary Zelime Elibol, MD - Medicare Psychiatry & Neurology in Fort Worth, TX

Mary Zelime Elibol, MD is a medicare enrolled "Psychiatry & Neurology - Neurology With Special Qualifications In Child Neurology" physician in Fort Worth, Texas. Her current practice location is 1300 W Lancaster Ave Ste 205, Fort Worth, Texas. You can reach out to her office (for appointments etc.) via phone at (817) 336-8611.

Mary Zelime Elibol is licensed to practice in Massachusetts (license number 252548) 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 1477758084.

Contact Information

Mary Zelime Elibol, MD
1300 W Lancaster Ave Ste 205,
Fort Worth, TX 76102-3490
(817) 336-8611
(817) 390-2981

Map and Direction




Physician's Profile

Full NameMary Zelime Elibol
GenderFemale
SpecialityPsychiatry & Neurology - Neurology With Special Qualifications In Child Neurology
Location1300 W Lancaster Ave Ste 205, Fort Worth, Texas
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1477758084
  • Provider Enumeration Date: 06/15/2007
  • Last Update Date: 04/06/2021
  Medicare PECOS Information:
  • PECOS PAC ID: 5294996328
  • Enrollment ID: I20190506001942

Medical Identifiers

Medical identifiers for Mary Zelime Elibol such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1477758084NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
208000000XPediatrics L-232250 (Massachusetts)Secondary
2084N0402XPsychiatry & Neurology - Neurology With Special Qualifications In Child Neurology 15949 (New Hampshire)Secondary
2084N0402XPsychiatry & Neurology - Neurology With Special Qualifications In Child Neurology 252548 (Massachusetts)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 Zelime Elibol allows following entities to bill medicare on her behalf.
Entity NameCook Childrens Physician Network
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1750369203
PECOS PAC ID: 7719884584
Enrollment ID: O20040128000800

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 Zelime Elibol 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
Mary Zelime Elibol, MD
Po Box 733784,
Dallas, TX 75373-3784

Ph: (682) 885-1860
Mary Zelime Elibol, MD
1300 W Lancaster Ave Ste 205,
Fort Worth, TX 76102-3490

Ph: (817) 336-8611

Reviews and Comments


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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).

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