Miss Henriette Mercedes Mathis, MD is a medicare enrolled "Hospitalist" physician in Desoto, Texas. She went to University Of Texas Southwestern Medical School At Dallas and graduated in 2011 and has 14 years of diverse experience with area of expertise as Hospitalist. She is a member of the group practice University Of Texas Southwestern Medical Center At Dallas and her current practice location is
1615 Osprey Dr Ste 107, Desoto, Texas. You can reach out to her office (for appointments etc.) via phone at
(469) 930-5842.
Miss Henriette Mercedes Mathis is licensed to practice in Texas (license number P9647) 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 1093005993.
Physician's Profile
| Full Name | Miss Henriette Mercedes Mathis |
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| Gender | Female |
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| Speciality | Hospitalist |
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| Experience | 14 Years |
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| Location | 1615 Osprey Dr Ste 107, Desoto, Texas |
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| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Miss Henriette Mercedes Mathis attended and graduated from University Of Texas Southwestern Medical School At Dallas in 2011
NPI Data:
- NPI Number: 1093005993
- Provider Enumeration Date: 04/12/2011
- Last Update Date: 06/17/2025
Medicare PECOS Information:
- PECOS PAC ID: 1557588647
- Enrollment ID: I20140813002380
Medical Identifiers
Medical identifiers for Miss Henriette Mercedes Mathis such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1093005993 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207R00000X | Internal Medicine | P9647 (Texas) | Secondary |
| 390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | Secondary |
| 208M00000X | Hospitalist | P9647 (Texas) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| University Of Texas Southwestern Medical Center At Dallas | 0648188250 | 2784 |
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. Miss Henriette Mercedes Mathis allows following entities to bill medicare on her behalf.
| Entity Name | University Of Texas Southwestern Medical Center At Dallas |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1942270566
PECOS PAC ID: 0648188250
Enrollment ID: O20031106000792 |
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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. Miss Henriette Mercedes Mathis 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 |
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Miss Henriette Mercedes Mathis, MD
P.o. Box 845347,
Dallas, TX 75284-5347
Ph: (214) 648-9741 | Miss Henriette Mercedes Mathis, MD
1615 Osprey Dr Ste 107,
Desoto, TX 75115-2427
Ph: (469) 930-5842 |
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