Dr David Lyon Hackethorn, MD - Medicare Internal Medicine in College Station, TX

Dr David Lyon Hackethorn, MD is a medicare enrolled "Internal Medicine - Geriatric Medicine" physician in College Station, Texas. He graduated from medical school in 1975 and has 49 years of diverse experience with area of expertise as Internal Medicine. He is a member of the group practice Scott And White Clinic and his current practice location is 1700 University Dr E, College Station, Texas. You can reach out to his office (for appointments etc.) via phone at (979) 691-3300.

Dr David Lyon Hackethorn is licensed to practice in Texas (license number E4377) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1306806914.

Contact Information

Dr David Lyon Hackethorn, MD
1700 University Dr E,
College Station, TX 77840
(979) 691-3300
(979) 691-3527

Map and Direction




Physician's Profile

Full NameDr David Lyon Hackethorn
GenderMale
SpecialityInternal Medicine
Experience49 Years
Location1700 University Dr E, College Station, Texas
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Dr David Lyon Hackethorn graduated from medical school in 1975
  NPI Data:
  • NPI Number: 1306806914
  • Provider Enumeration Date: 03/27/2006
  • Last Update Date: 11/07/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 9234279852
  • Enrollment ID: I20091211000652

Medical Identifiers

Medical identifiers for Dr David Lyon Hackethorn such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1306806914NPI-NPPES
807442OtherTXBLUE SHIELD

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207RG0300XInternal Medicine - Geriatric Medicine E4377 (Texas)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Baylor Scott & White Medical Center- College StatiCollege station, TXHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Scott And White Clinic81239236042143

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. Dr David Lyon Hackethorn allows following entities to bill medicare on his behalf.
Entity NameScott & White Clinic
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1093779704
PECOS PAC ID: 8123923604
Enrollment ID: O20031223000640

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. Dr David Lyon Hackethorn 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
Dr David Lyon Hackethorn, MD
Po Box 844658,
Dallas, TX 75284-4658

Ph: (800) 994-0371
Dr David Lyon Hackethorn, MD
1700 University Dr E,
College Station, TX 77840

Ph: (979) 691-3300

Reviews and Comments


Internal Medicine Doctors in College Station, TX

Joseph Jason Roman, MD
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Practice Location: 1602 Rock Prairie Rd, Suite 4880, College Station, TX 77845
Phone: 979-796-1111    Fax: 979-764-1164
Ashley Annly Liou, DO
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Practice Location: 700 Scott And White Dr, College Station, TX 77845
Phone: 979-207-0100    Fax: 979-207-2161
Rajpreet Kaur Singh, D.O.
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Practice Location: 1725 Birmingham Rd Ste 200, College Station, TX 77845
Phone: 979-696-8000    Fax: 979-696-8100
Dr. Natraj Aiyappan Shanmugam, M.D.
Geriatric Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 1602 Rock Prairie Rd, Suite 210, College Station, TX 77845
Phone: 979-696-5663    Fax: 979-694-1319
Kaycee Leigh Weaver, M.D.
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Medicare: Accepting Medicare Assignments
Practice Location: 700 Scott And White Dr, College Station, TX 77845
Phone: 979-207-0100    
Dr. Daniel Philip Stagg Iii, M.D.
Geriatric Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 800 Scott And White Dr, College Station, TX 77845
Phone: 979-207-4000    Fax: 979-207-4562
Dr. Thomas H. Meade, M.D.
Geriatric Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 1721 Birmingham Rd Ste 202, College Station, TX 77845
Phone: 979-446-0373    

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.