Dr Leann Kridelbaugh, MD in Dallas, TX

Dr Leann Kridelbaugh, MD is a medicare enrolled "Pediatrics" physician in Dallas, Texas. Her current practice location is 2750 W. Northwest Hwy, Suite 170, Dallas, Texas. You can reach out to her office (for appointments etc.) via phone at (214) 654-0007.

Dr Leann Kridelbaugh is licensed to practice in Texas (license number J8629) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1174627699.

Contact Information

	Dr Leann Kridelbaugh, MD
	2750 W. Northwest Hwy, Suite 170, Dallas, TX 75220-4783
	(214) 654-0007
	(214) 654-9272

Map and Direction

Physician's Profile

Full Name	Dr Leann Kridelbaugh
Gender	Female
Speciality	Pediatrics
Location	2750 W. Northwest Hwy, Dallas, Texas
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1174627699
Provider Enumeration Date: 09/13/2006
Last Update Date: 08/03/2011

Medicare PECOS Information:

PECOS PAC ID: 9537434428
Enrollment ID: I20190822000968

Medical Identifiers

Medical identifiers for Dr Leann Kridelbaugh such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1174627699	NPI	-	NPPES
139112019	Medicaid	TX
139112021	Medicaid	TX
176920001	Other	TX	TPI
139112017	Medicaid	TX
139112026	Medicaid	TX
139112020	Medicaid	TX

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208000000X	Pediatrics	J8629 (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 Leann Kridelbaugh allows following entities to bill medicare on her behalf.

Entity Name	Samuel U Rodgers Health Center Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1578570982 PECOS PAC ID: 9739092826 Enrollment ID: O20031105000813

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 Leann Kridelbaugh 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 Leann Kridelbaugh, MD 7547 Greenbrier Dr, Dallas, TX 75225-4514 Ph: (214) 692-5361	Dr Leann Kridelbaugh, MD 2750 W. Northwest Hwy, Suite 170, Dallas, TX 75220-4783 Ph: (214) 654-0007

Reviews and Comments

Pediatrics Doctors in Dallas, TX

Dr. Jyothsna Gattineni, M.D. Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 5323 Harry Hines Blvd, Dallas, TX 75390 Phone: 214-648-3438
Ruth Osei Fordjour, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 12221 Merit Dr, Suite 1500, Dallas, TX 75251 Phone: 214-957-4754
Dr. Alecia Curlene Nero, M.D. Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 5323 Harry Hines Blvd, Dallas, TX 75390 Phone: 214-648-4180
Dr. Sravani Avula, M.D. Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 5323 Harry Hines Blvd, Dallas, TX 75390 Phone: 214-730-5437
Asif Zia Khattak, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 3500 Gaston Ave, Dallas, TX 75246 Phone: 214-820-7604
Sadia Malik, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 5323 Harry Hines Boulevard, Dallas, TX 75390 Phone: 214-456-2533 Fax: 214-456-8130
Sana Jamil Siddiqui, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 5323 Harry Hines Boulevard, Dallas, TX 75390 Phone: 214-456-0488 Fax: 214-456-4486

Dr Leann Kridelbaugh, MD - Medicare Pediatrics in Dallas, TX