Jacqueline R Hanna, MD in Southlake, TX

Jacqueline R Hanna, MD is a medicare enrolled "Pediatrics" physician in Southlake, Texas. Her current practice location is 2727 E Southlake Blvd, Southlake, Texas. You can reach out to her office (for appointments etc.) via phone at (682) 885-6000.

Jacqueline R Hanna is licensed to practice in Texas (license number N9871) 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 1508027004.

Contact Information

	Jacqueline R Hanna, MD
	2727 E Southlake Blvd, Southlake, TX 76092-6613
	(682) 885-6000
	(682) 885-6026

Map and Direction

Physician's Profile

Full Name	Jacqueline R Hanna
Gender	Female
Speciality	Pediatrics
Location	2727 E Southlake Blvd, Southlake, Texas
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1508027004
Provider Enumeration Date: 06/18/2008
Last Update Date: 02/01/2017

Medicare PECOS Information:

PECOS PAC ID: 9436308897
Enrollment ID: I20121001000138

Medical Identifiers

Medical identifiers for Jacqueline R Hanna such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1508027004	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208000000X	Pediatrics	N9871 (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. Jacqueline R Hanna allows following entities to bill medicare on her behalf.

Entity Name	Cook Childrens Physician Network
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1750369203 PECOS PAC ID: 7719884584 Enrollment ID: O20040128000800

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 R Hanna 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
Jacqueline R Hanna, MD Po Box 99213, Fort Worth, TX 76199-0213 Ph: (682) 885-4446	Jacqueline R Hanna, MD 2727 E Southlake Blvd, Southlake, TX 76092-6613 Ph: (682) 885-6000

Reviews and Comments

Pediatrics Doctors in Southlake, TX

Dr. Atoosa Kourosh, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1170 N Carroll Ave, Southlake, TX 76092 Phone: 214-702-6550 Fax: 214-894-4182
Michelle M Mckane, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 2727 E Southlake Blvd, Southlake, TX 76092 Phone: 682-885-6000 Fax: 682-885-6050
Dr. Arthur Eric Benzick, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 731 E Southlake Blvd, 100, Southlake, TX 76092 Phone: 817-424-3366 Fax: 817-552-8540
Magda Fawzy, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 2727 E Southlake Blvd, Southlake, TX 76092 Phone: 682-885-6000 Fax: 682-885-6026
Dr. Erica J Zwernemann, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 731 E Southlake Blvd, Suite 100, Southlake, TX 76092 Phone: 817-912-8800 Fax: 817-912-8810
Roger S Knapp Ii, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 480 W Southlake Blvd, Ste 133, Southlake, TX 76092 Phone: 817-329-9234 Fax: 817-329-9239

Jacqueline R Hanna, MD - Medicare Pediatrics in Southlake, TX