Dr Jack David Seidel, MD is a medicare enrolled "Pediatrics" physician in Farmers Branch, Texas. His current practice location is
4100 Alpha Rd Ste 650, Farmers Branch, Texas. You can reach out to his office (for appointments etc.) via phone at
(972) 243-5437.
Dr Jack David Seidel is licensed to practice in Texas (license number H3940) 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 1962613026.
Physician's Profile
Full Name | Dr Jack David Seidel |
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Gender | Male |
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Speciality | Pediatrics |
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Location | 4100 Alpha Rd Ste 650, Farmers Branch, Texas |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1962613026
- Provider Enumeration Date: 05/24/2007
- Last Update Date: 06/30/2021
Medicare PECOS Information:
- PECOS PAC ID: 2163642562
- Enrollment ID: I20141007002192
Medical Identifiers
Medical identifiers for Dr Jack David Seidel such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1962613026 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
208000000X | Pediatrics | H3940 (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. Dr Jack David Seidel allows following entities to bill medicare on his behalf.
Entity Name | University Of Texas Southwestern Medical Center At Dallas |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1972579365 PECOS PAC ID: 0648188250 Enrollment ID: O20031106000792 |
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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 Jack David Seidel 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 |
Dr Jack David Seidel, MD 4100 Alpha Rd Ste 650, Farmers Branch, TX 75244-4381 Ph: (972) 243-5437 | Dr Jack David Seidel, MD 4100 Alpha Rd Ste 650, Farmers Branch, TX 75244-4381 Ph: (972) 243-5437 |
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