Dr Sergio Eduardo Souza, MD is a medicare enrolled "Pain Medicine - Interventional Pain Medicine" physician in Fort Sam Houston, Texas. His current practice location is
3551 Roger Brooke Dr, Fort Sam Houston, Texas. You can reach out to his office (for appointments etc.) via phone at
(219) 916-2888.
Dr Sergio Eduardo Souza is licensed to practice in Texas (license number M5517) 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 1558305979.
Physician's Profile
| Full Name | Dr Sergio Eduardo Souza |
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| Gender | Male |
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| Speciality | Pain Medicine - Interventional Pain Medicine |
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| Location | 3551 Roger Brooke Dr, Fort Sam Houston, Texas |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1558305979
- Provider Enumeration Date: 06/15/2006
- Last Update Date: 12/05/2013
Medicare PECOS Information:
- PECOS PAC ID: 4082617972
- Enrollment ID: I20111220000337
Medical Identifiers
Medical identifiers for Dr Sergio Eduardo Souza such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1558305979 | NPI | - | NPPES |
| 8CZ439 | Other | TX | BLUE CROSS/BLUE SHIELD |
| PENDING | Medicaid | TX | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 207L00000X | Anesthesiology | 0101238938 (Virginia) | Secondary |
| 207LP2900X | Anesthesiology - Pain Medicine | 35090134 (Ohio) | Secondary |
| 208VP0014X | Pain Medicine - Interventional Pain Medicine | M5517 (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 Sergio Eduardo Souza allows following entities to bill medicare on his behalf.
| Entity Name | Hill Country Pain Associates, P.a. |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1053420935
PECOS PAC ID: 1951329010
Enrollment ID: O20051107000955 |
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| Entity Name | Jeremy C Jones Md Pllc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1386012433
PECOS PAC ID: 3577863182
Enrollment ID: O20151204000320 |
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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 Sergio Eduardo Souza 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 |
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Dr Sergio Eduardo Souza, MD
3551 Roger Brooke Dr,
Fort Sam Houston, TX 78234-4504
Ph: (219) 916-2888 | Dr Sergio Eduardo Souza, MD
3551 Roger Brooke Dr,
Fort Sam Houston, TX 78234-4504
Ph: (219) 916-2888 |
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