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Kevin Dean Katzen

Family Medicine

Allopathic & Osteopathic Physicians

600 S Main St Ste 3.500, Fort Worth, TX 76104-2410

PECOS Enrollment

This provider is enrolled in PECOS as KEVIN KATZEN.

Based on the most recent information from CMS, provider Kevin Dean Katzen is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.

Part B
Medicare Part B
Enrolled
HHA
Home Health Agency
Enrolled
DME
Durable Medical Equipment
Enrolled
PMD
Power Mobility Device
Enrolled

CMS last updated its PECOS records 3 days ago.

Profile Details

Provider ID
1639122625
Provider Type
Individual
Full Name
Katzen, Kevin Dean
Credential
D.O.

Gender
Male
Sole Proprietor
No
Enumeration Date
5/18/2006
Last Updated
10/27/2022

Contact Information

Practice Location

600 S Main St Ste 3.500, Fort Worth, TX 76104-2410

(817) 882-2590

(817) 882-2591

Mailing Location

600 S Main St Ste 3.500, Fort Worth, TX 76104-2410

(817) 882-2590

(817) 882-2591

Provider Taxonomies

Code	Description	License
Code 207Q00000X Primary	Description Family Medicine Allopathic & Osteopathic Physicians	License J3509 Texas

Provider Identifiers

ID	Description	Issuer
ID 87814F	Description Other	Issuer BCBS Texas
ID 115830502	Description Medicaid	Issuer Unlisted Texas

Kevin Dean Katzen

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Provider Identifiers

ID

Description

Issuer

ID

Description

Issuer

ID

Description

Issuer

Mathur, Monika

Health Texas Provider Network-Family Practice Of North Texas Llp

Savage, Autumn

Akinmerese, Olawale Opeyemi

Mcneil, Susan E

Bond, Mary Claire

Amber Rogers, Md, Pllc

Leon, Celeste Marie

Texas Health Care, P.L.L.C.

Abilez, Cristianna Alicia