Jason Kelly Brockway, MD in Kilgore, TX - Medicare Family Practice

Jason Kelly Brockway, MD is a medicare enrolled "Family Medicine" physician in Kilgore, Texas. He graduated from medical school in 1995 and has 29 years of diverse experience with area of expertise as Family Practice. He is a member of the group practice Christus Trinity Clinic and his current practice location is 1718 S Henderson Blvd, Kilgore, Texas. You can reach out to his office (for appointments etc.) via phone at (903) 983-2110.

Jason Kelly Brockway is licensed to practice in Texas (license number K0427) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1043283823.

Contact Information

	Jason Kelly Brockway, MD
	1718 S Henderson Blvd, Kilgore, TX 75662-3566
	(903) 983-2110
	Not Available

Map and Direction

Physician's Profile

Full Name	Jason Kelly Brockway
Gender	Male
Speciality	Family Practice
Experience	29 Years
Location	1718 S Henderson Blvd, Kilgore, Texas
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Jason Kelly Brockway graduated from medical school in 1995

NPI Data:

NPI Number: 1043283823
Provider Enumeration Date: 02/10/2006
Last Update Date: 04/10/2024

Medicare PECOS Information:

PECOS PAC ID: 7113980525
Enrollment ID: I20080509000148

Medical Identifiers

Medical identifiers for Jason Kelly Brockway such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1043283823	NPI	-	NPPES
752616977017	Other	TX	TRICARE CHAMPUS
113244106	Medicaid	TX
117311	Other	TX	SUPERIOR CHIPS
081026902	Medicaid	TX
752616977017	Other	TX	TRICARE
87581G	Other	TX	BCBS OF TEXAS
113244103	Medicaid	TX
117311	Other	TX	CHIPS
5411635	Other	TX	AETNA

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207Q00000X	Family Medicine	K0427 (Texas)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Christus Good Shepherd	Longview, TX	Home health agency
Christus Mother Frances Hospital	Tyler, TX	Hospital
Christus Good Shepherd Medical Center	Longview, TX	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Christus Trinity Clinic	3072426741	1217

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. Jason Kelly Brockway allows following entities to bill medicare on his behalf.

Entity Name	Christus Trinity Clinic
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1285684225 PECOS PAC ID: 3072426741 Enrollment ID: O20031204001091

Entity Name	Mother Frances Hospital Jacksonville
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1952306672 PECOS PAC ID: 5597751024 Enrollment ID: O20040421001092

Entity Name	Mother Frances Hospital Regional Health Care Center
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1679578439 PECOS PAC ID: 9234025636 Enrollment ID: O20040610001042

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. Jason Kelly Brockway 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
Jason Kelly Brockway, MD Po Box 846098, Dallas, TX 75284-6098 Ph: (903) 324-6450	Jason Kelly Brockway, MD 1718 S Henderson Blvd, Kilgore, TX 75662-3566 Ph: (903) 983-2110

Reviews and Comments

Family Medicine Doctors in Kilgore, TX

Kimberly Nicole Page, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1718 S Henderson Blvd, Kilgore, TX 75662 Phone: 903-983-2110
Justin Levon Du, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1718 S Henderson Blvd, Kilgore, TX 75662 Phone: 903-983-2110
John K. Wolcott, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 5174 Fm 1252 W, Kilgore, TX 75662 Phone: 903-986-1901 Fax: 903-984-6151
Mark Douglas Miller, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1718 S Henderson Blvd, Kilgore, TX 75662 Phone: 903-983-2110
Clark Wynn Langley, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 1718 S Henderson Blvd, #8, Kilgore, TX 75662 Phone: 903-983-2110
Dr. James E Repasky, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 1718 S Henderson Blvd, #7, Kilgore, TX 75662 Phone: 903-983-2110

Jason Kelly Brockway, MD - Medicare Family Practice in Kilgore, TX