Jeff L Pugach, MD in Fort Worth, TX

Jeff L Pugach, MD is a medicare enrolled "Urology - Pediatric Urology" physician in Fort Worth, Texas. His current practice location is 750 8th Ave Fl 6, Fort Worth, Texas. You can reach out to his office (for appointments etc.) via phone at (682) 303-0376.

Jeff L Pugach is licensed to practice in Texas (license number L3077) 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 1871589978.

Contact Information

	Jeff L Pugach, MD
	750 8th Ave Fl 6, Fort Worth, TX 76104-2515
	(682) 303-0376
	(682) 303-0377

Map and Direction

Physician's Profile

Full Name	Jeff L Pugach
Gender	Male
Speciality	Urology - Pediatric Urology
Location	750 8th Ave Fl 6, Fort Worth, Texas
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1871589978
Provider Enumeration Date: 09/23/2005
Last Update Date: 04/13/2021

Medicare PECOS Information:

PECOS PAC ID: 7012800147
Enrollment ID: I20040203001099

Medical Identifiers

Medical identifiers for Jeff L Pugach such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1871589978	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
2088P0231X	Urology - Pediatric Urology	L3077 (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. Jeff L Pugach allows following entities to bill medicare on his 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. Jeff L Pugach 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
Jeff L Pugach, MD Po Box 733784, Dallas, TX 75373-3784 Ph: (682) 885-1855	Jeff L Pugach, MD 750 8th Ave Fl 6, Fort Worth, TX 76104-2515 Ph: (682) 303-0376

Reviews and Comments

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Dr. Michael Capwell Walter, M.D. Urology Medicare: Accepting Medicare Assignments Practice Location: 5450 Clearfork Main St Ste 420, Fort Worth, TX 76109 Phone: 817-784-8268 Fax: 817-346-6173
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Dr. David Lawrence Gould, M.D. Urology Medicare: Accepting Medicare Assignments Practice Location: 900 Jerome St Ste 304, Fort Worth, TX 76104 Phone: 817-348-8399 Fax: 817-348-8380
Julia M. Willingham, MD Urology Medicare: Accepting Medicare Assignments Practice Location: 5450 Clearfork Main St Ste 410, Fort Worth, TX 76109 Phone: 817-784-8268 Fax: 817-336-8034
Charles Bamberger, MD Urology Medicare: Not Enrolled in Medicare Practice Location: 416 South Henderson, Fort Worth, TX 76104 Phone: 817-338-4636 Fax: 817-335-5421

Jeff L Pugach, MD - Medicare Urology in Fort Worth, TX