Jacqueline Buchak, MD - Medicare Emergency Medicine in Fort Worth, TX

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Jacqueline Buchak, MD is a medicare enrolled "Emergency Medicine" physician in Fort Worth, Texas. She went to University Of Arizona College Of Medicine and graduated in 2019 and has 5 years of diverse experience with area of expertise as Emergency Medicine. She is a member of the group practice Chandler Emergency Medical Group Llc, Cep America- Arizona, Pc and her current practice location is 1500 S Main St, Fort Worth, Texas. You can reach out to her office (for appointments etc.) via phone at (817) 702-8840.

Jacqueline Buchak is licensed to practice in Arizona (license number 66293) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1285195453.

Contact Information

Jacqueline Buchak, MD
1500 S Main St,
Fort Worth, TX 76104-4917
(817) 702-8840
Not Available

Map and Direction




Physician's Profile

Full NameJacqueline Buchak
GenderFemale
SpecialityEmergency Medicine
Experience5 Years
Location1500 S Main St, Fort Worth, Texas
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Jacqueline Buchak attended and graduated from University Of Arizona College Of Medicine in 2019
  NPI Data:
  • NPI Number: 1285195453
  • Provider Enumeration Date: 03/28/2019
  • Last Update Date: 07/31/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 3072918887
  • Enrollment ID: I20220701001428

Medical Identifiers

Medical identifiers for Jacqueline Buchak such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1285195453NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207P00000XEmergency Medicine T2336 (Texas)Secondary
390200000XStudent In An Organized Health Care Education/training Program (* (Not Available))Secondary
207P00000XEmergency Medicine 66293 (Arizona)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Banner Desert Medical CenterMesa, AZHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Chandler Emergency Medical Group Llc165827296844
Cep America- Arizona, Pc185054197059

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. Jacqueline Buchak allows following entities to bill medicare on her behalf.
Entity NameChandler Emergency Medical Group Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1104871961
PECOS PAC ID: 1658272968
Enrollment ID: O20040120000160
Entity NameProgressive Medical Associates Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1548218613
PECOS PAC ID: 7113829599
Enrollment ID: O20040308001331
Entity NameCep America- Arizona, Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1780202804
PECOS PAC ID: 1850541970
Enrollment ID: O20121026000403
Entity NameNorthwest Hbp Medical Services Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1407353006
PECOS PAC ID: 8921356536
Enrollment ID: O20180730001756
Entity NameIes Arizona Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1821752213
PECOS PAC ID: 7810382884
Enrollment ID: O20220310001059
Entity NameIes Obs Arizona Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1356006670
PECOS PAC ID: 7719364991
Enrollment ID: O20220509000853

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. Jacqueline Buchak 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
Jacqueline Buchak, MD
1500 S Main St,
Fort Worth, TX 76104-4917

Ph: () -		Jacqueline Buchak, MD
1500 S Main St,
Fort Worth, TX 76104-4917

Ph: (817) 702-8840

Reviews and Comments


Emergency Medicine Doctors in Fort Worth, TX

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Don Stewart Harper, M.D.
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Lacey A Mcdaniel, PA-C
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Phone: 817-346-1925    Fax: 817-292-7237
Dr. Rafael Andres Raya, MD
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Mr. Karim S Jamal, M.D.
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Phone: 817-293-9110    

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.