Gerald Nystrom, MD in Dallas, TX - Medicare Pediatrics

Gerald Nystrom, MD is a medicare enrolled "Pediatrics - Neonatal-perinatal Medicine" physician in Dallas, Texas. His current practice location is 7777 Forest Ln, Dallas, Texas. You can reach out to his office (for appointments etc.) via phone at (214) 343-6663.

Gerald Nystrom is licensed to practice in Texas (license number K6194) 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 1437111614.

Contact Information

	Gerald Nystrom, MD
	7777 Forest Ln, Dallas, TX 75230-2571
	(214) 343-6663
	(214) 343-2814

Map and Direction

Physician's Profile

Full Name	Gerald Nystrom
Gender	Male
Speciality	Pediatrics - Neonatal-perinatal Medicine
Location	7777 Forest Ln, 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: 1437111614
Provider Enumeration Date: 04/04/2006
Last Update Date: 08/25/2024

Medicare PECOS Information:

PECOS PAC ID: 3072532357
Enrollment ID: I20051116000158

Medical Identifiers

Medical identifiers for Gerald Nystrom such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1437111614	NPI	-	NPPES
040275201	Medicaid	TX
K6194	Other	TX	LICENSE

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
2080N0001X	Pediatrics - Neonatal-perinatal Medicine	K6194 (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. Gerald Nystrom allows following entities to bill medicare on his behalf.

Entity Name	Magella Medical Associates Billing Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1083631071 PECOS PAC ID: 8729970215 Enrollment ID: O20041115001144

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. Gerald Nystrom 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
Gerald Nystrom, MD 1121 E Spring Creek Pkwy, Ste. 110, #319, Plano, TX 75074 Ph: (214) 343-6663	Gerald Nystrom, MD 7777 Forest Ln, Dallas, TX 75230-2571 Ph: (214) 343-6663

Reviews and Comments

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Gerald Nystrom, MD - Medicare Pediatrics in Dallas, TX