Monica Herrera, MD - Medicare Pediatrics in Frisco, TX

Monica Herrera, MD is a medicare enrolled "Pediatrics" physician in Frisco, Texas. Her current practice location is 5680 Frisco Square Blvd Ste 1200, Frisco, Texas. You can reach out to her office (for appointments etc.) via phone at (972) 403-5437.

Monica Herrera is licensed to practice in Texas (license number J4206) 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 1366587859.

Contact Information

Monica Herrera, MD
5680 Frisco Square Blvd Ste 1200,
Frisco, TX 75034-3323
(972) 403-5437
(972) 403-5438

Map and Direction




Physician's Profile

Full NameMonica Herrera
GenderFemale
SpecialityPediatrics
Location5680 Frisco Square Blvd Ste 1200, Frisco, Texas
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1366587859
  • Provider Enumeration Date: 02/21/2007
  • Last Update Date: 07/18/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 2769889674
  • Enrollment ID: I20210920003013

Medical Identifiers

Medical identifiers for Monica Herrera such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1366587859NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
208000000XPediatrics J4206 (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. Monica Herrera 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. Monica Herrera 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
Monica Herrera, MD
Po Box 733784,
Dallas, TX 75373-3784

Ph: (682) 885-6483
Monica Herrera, MD
5680 Frisco Square Blvd Ste 1200,
Frisco, TX 75034-3323

Ph: (972) 403-5437

Reviews and Comments


Pediatrics Doctors in Frisco, TX

Iresh Kumar, M.D.
Pediatrics
Medicare: Not Enrolled in Medicare
Practice Location: 7589 Preston Rd, Ste 600, Frisco, TX 75034
Phone: 214-705-9696    Fax: 214-705-9697
Dr. Thai V Hoang, MD
Pediatrics
Medicare: Not Enrolled in Medicare
Practice Location: 2840 Legacy Dr Ste 210, Frisco, TX 75034
Phone: 972-668-7110    
William Anthony Paruolo, M.D.
Pediatrics
Medicare: Medicare Enrolled
Practice Location: 225 W Lebanon Rd, Suite 104, Frisco, TX 75036
Phone: 972-370-2425    Fax: 972-370-2591
Deborah Zebold Bain, M.D.
Pediatrics
Medicare: Not Enrolled in Medicare
Practice Location: 5680 Frisco Square Blvd Ste 2300, Frisco, TX 75034
Phone: 972-294-0808    
Brittney Kaye Waisner,
Pediatrics
Medicare: Not Enrolled in Medicare
Practice Location: 3535 Victory Group Way Ste 305, Frisco, TX 75034
Phone: 972-324-3480    Fax: 877-637-1611
Sara Lynn Gondol, M.D.
Pediatrics
Medicare: Not Enrolled in Medicare
Practice Location: 1518 Legacy Dr Ste 110, Frisco, TX 75034
Phone: 214-494-4212    Fax: 214-494-4214
Dr. Isha Mannering, MD
Pediatrics
Medicare: Medicare Enrolled
Practice Location: 4461 Coit Rd Ste 405, Frisco, TX 75035
Phone: 972-526-0700    

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.