Priyanka Reddy Gudoor, MD in Fort Worth, TX

Priyanka Reddy Gudoor, MD is a medicare enrolled "Family Medicine" physician in Fort Worth, Texas. She graduated from medical school in 2011 and has 15 years of diverse experience with area of expertise as Family Practice. She is a member of the group practice Warren Clinic Inc and her current practice location is 6100 Harris Pkwy, Fort Worth, Texas. You can reach out to her office (for appointments etc.) via phone at (817) 433-5977.

Priyanka Reddy Gudoor is licensed to practice in Texas (license number V4915) 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 1174936892.

Contact Information

	Priyanka Reddy Gudoor, MD
	6100 Harris Pkwy, Fort Worth, TX 76132-4101
	(817) 433-5977
	(817) 433-5989

Map and Direction

Physician's Profile

Full Name	Priyanka Reddy Gudoor
Gender	Female
Speciality	Family Practice
Experience	15 Years
Location	6100 Harris Pkwy, 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:

Priyanka Reddy Gudoor graduated from medical school in 2011

NPI Data:

NPI Number: 1174936892
Provider Enumeration Date: 06/10/2014
Last Update Date: 08/15/2025

Medicare PECOS Information:

PECOS PAC ID: 4587953831
Enrollment ID: I20170815003417

Medical Identifiers

Medical identifiers for Priyanka Reddy Gudoor such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1174936892	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208M00000X	Hospitalist	32852 (Oklahoma)	Secondary
207Q00000X	Family Medicine	V4915 (Texas)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Saint Francis Hospital, Inc	Tulsa, OK	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Warren Clinic Inc	8820900293	693

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. Priyanka Reddy Gudoor allows following entities to bill medicare on her behalf.

Entity Name	Warren Clinic Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1174582282 PECOS PAC ID: 8820900293 Enrollment ID: O20031104000252

Entity Name	Faisal Wasi Md, Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1265757827 PECOS PAC ID: 1557493228 Enrollment ID: O20100715000330

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. Priyanka Reddy Gudoor 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
Priyanka Reddy Gudoor, MD 6161 S Yale Ave, Tulsa, OK 74136-1902 Ph: (918) 502-1900	Priyanka Reddy Gudoor, MD 6100 Harris Pkwy, Fort Worth, TX 76132-4101 Ph: (817) 433-5977

Reviews and Comments

Family Medicine Doctors in Fort Worth, TX

Jonathan A Lazarini, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 1500 S Main St, Fort Worth, TX 76104 Phone: 903-353-2265
Mrs. Adeline Galvez, Family Medicine Medicare: Medicare Enrolled Practice Location: 1300 W Terrell Ave Ste 270, Fort Worth, TX 76104 Phone: 817-250-4987
Fomundam Newnton Mbuh, NP Family Medicine Medicare: Medicare Enrolled Practice Location: 4759 South Fwy Ste 101, Fort Worth, TX 76115 Phone: 817-382-0005
Dr. Joane Baumer, M.D. Family Medicine Medicare: Medicare Enrolled Practice Location: 1500 S Main St, Family Medicine Center, Fort Worth, TX 76104 Phone: 817-335-1034
Evelyn Tobias-merrill, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 2825 Stadium Dr, Fort Worth, TX 76109 Phone: 817-257-7940 Fax: 817-257-7279
Dr. Christian Ann Lance, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 800 8th Ave Ste 412, Fort Worth, TX 76104 Phone: 817-662-2006 Fax: 817-623-9598
Dr. Michael David Carletti, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 855 Montgomery St, Fort Worth, TX 76107 Phone: 817-735-0278

Priyanka Reddy Gudoor, MD - Medicare Family Practice in Fort Worth, TX