Jeffrey Dale Lawhead, MD is a medicare enrolled "Family Medicine" physician in Bermuda Dunes, California. His current practice location is
41120 Washington St Ste 201, Bermuda Dunes, California. You can reach out to his office (for appointments etc.) via phone at
(760) 360-3193.
Jeffrey Dale Lawhead is licensed to practice in California (license number G146704) 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 1679576706.
Physician's Profile
| Full Name | Jeffrey Dale Lawhead |
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| Gender | Male |
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| Speciality | Family Medicine |
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| Location | 41120 Washington St Ste 201, Bermuda Dunes, California |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1679576706
- Provider Enumeration Date: 05/23/2005
- Last Update Date: 03/27/2018
Medicare PECOS Information:
- PECOS PAC ID: 7911897798
- Enrollment ID: I20170601001967
Medical Identifiers
Medical identifiers for Jeffrey Dale Lawhead such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1679576706 | NPI | - | NPPES |
| 100545 | Other | KS | KANSAS BLUE CROSS |
| 13829031 | Other | MO | BCBS KANSAS CITY |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 207Q00000X | Family Medicine | 04-21047 (Kansas) | Secondary |
| 207Q00000X | Family Medicine | R9E18 (Missouri) | Secondary |
| 207Q00000X | Family Medicine | G146704 (California) | 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. Jeffrey Dale Lawhead allows following entities to bill medicare on his behalf.
| Entity Name | Desert Medical Group Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1114918612
PECOS PAC ID: 8123930427
Enrollment ID: O20031229000246 |
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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. Jeffrey Dale Lawhead 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 |
|---|
Jeffrey Dale Lawhead, MD
41120 Washington St Ste 201,
Bermuda Dunes, CA 92203-9596
Ph: (760) 360-3193 | Jeffrey Dale Lawhead, MD
41120 Washington St Ste 201,
Bermuda Dunes, CA 92203-9596
Ph: (760) 360-3193 |
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