Crisanto G Dimafelix, MD - Medicare Family Medicine in Addison, TX

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Crisanto G Dimafelix, MD is a medicare enrolled "Family Medicine" physician in Addison, Texas. His current practice location is 15810 Midway Road, Addison, Texas. You can reach out to his office (for appointments etc.) via phone at (972) 458-8111.

Crisanto G Dimafelix is licensed to practice in Texas (license number M2606) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1003853722.

Contact Information

Crisanto G Dimafelix, MD
15810 Midway Road,
Addison, TX 75001
(972) 458-8111
(972) 458-7776

Map and Direction




Physician's Profile

Full NameCrisanto G Dimafelix
GenderMale
SpecialityFamily Medicine
Location15810 Midway Road, Addison, Texas
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1003853722
  • Provider Enumeration Date: 06/01/2006
  • Last Update Date: 02/26/2019
  Medicare PECOS Information:
  • PECOS PAC ID: 4789608555
  • Enrollment ID: I20060119000359

Medical Identifiers

Medical identifiers for Crisanto G Dimafelix such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1003853722NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine M2606 (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. Crisanto G Dimafelix allows following entities to bill medicare on his behalf.
Entity NameCovenant Medical Group
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1376598904
PECOS PAC ID: 6901889393
Enrollment ID: O20040608000563
Entity NameVillagemd Of Southeast Texas Pa
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1841643327
PECOS PAC ID: 4587947346
Enrollment ID: O20170202000474

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. Crisanto G Dimafelix 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
Crisanto G Dimafelix, MD
1041 Grimes Drive,
Forney, TX 75126

Ph: () -		Crisanto G Dimafelix, MD
15810 Midway Road,
Addison, TX 75001

Ph: (972) 458-8111

Reviews and Comments


Family Medicine Doctors in Addison, TX

Heather Hughes, FNP-C
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 15301 Spectrum Dr Ste 330, Addison, TX 75001
Phone: 972-661-2273    
Dr. Yeshodra Sagar, MD
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 14131 Midway Rd, Suite 620, Addison, TX 75001
Phone: 972-249-0200    Fax: 972-249-0206
Christine Ijeoma Nwabeke, NP
Family Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 15250 Quorum Dr Apt 410, Addison, TX 75001
Phone: 281-639-2849    
Nadia Nisar Siddiqui, M.D
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 14131 Midway Rd, Suite 620, Addison, TX 75001
Phone: 972-249-0200    Fax: 972-249-0206
Majdouleen Michil Georgeos, M.D.
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 15810 Midway Rd, Addison, TX 75001
Phone: 972-458-8111    
Dr. Robert Contreras, M.D.
Family Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 15810 Midway Rd, Addison, TX 75001
Phone: 972-458-8111    Fax: 972-458-7776

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.