Jerry K Gideon, MD in San Angelo, TX

Jerry K Gideon, MD is a medicare enrolled "Pathology - Blood Banking & Transfusion Medicine" physician in San Angelo, Texas. He went to University Of Texas Medical Branch At Galveston and graduated in 1988 and has 36 years of diverse experience with area of expertise as Pathology. He is a member of the group practice Shannon Clinic and his current practice location is 120 E Harris Ave, San Angelo, Texas. You can reach out to his office (for appointments etc.) via phone at (325) 658-1511.

Jerry K Gideon is licensed to practice in Texas (license number H6236) 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 1629053384.

Contact Information

	Jerry K Gideon, MD
	120 E Harris Ave, San Angelo, TX 76903-5904
	(325) 658-1511
	Not Available

Map and Direction

Physician's Profile

Full Name	Jerry K Gideon
Gender	Male
Speciality	Pathology
Experience	36 Years
Location	120 E Harris Ave, San Angelo, 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:

Jerry K Gideon attended and graduated from University Of Texas Medical Branch At Galveston in 1988

NPI Data:

NPI Number: 1629053384
Provider Enumeration Date: 12/14/2005
Last Update Date: 08/15/2013

Medicare PECOS Information:

PECOS PAC ID: 7315045846
Enrollment ID: I20070607000274

Medical Identifiers

Medical identifiers for Jerry K Gideon such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1629053384	NPI	-	NPPES
118290905	Medicaid	TX

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207ZB0001X	Pathology - Blood Banking & Transfusion Medicine	H6236 (Texas)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Shannon Medical Center	San angelo, TX	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Shannon Clinic	0840103727	411

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. Jerry K Gideon allows following entities to bill medicare on his behalf.

Entity Name	Shannon Clinic
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1770587149 PECOS PAC ID: 0840103727 Enrollment ID: O20031222000702

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. Jerry K Gideon 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
Jerry K Gideon, MD Po Box 22000, San Angelo, TX 76902-7200 Ph: (325) 658-1511	Jerry K Gideon, MD 120 E Harris Ave, San Angelo, TX 76903-5904 Ph: (325) 658-1511

Reviews and Comments

Pathology Doctors in San Angelo, TX

Stephen M Stanley, MD Pathology Medicare: Accepting Medicare Assignments Practice Location: 120 E Harris Ave, San Angelo, TX 76903 Phone: 325-658-1511
Dr. Anthony Charles Soldano, MD Pathology Medicare: Accepting Medicare Assignments Practice Location: 120 E Harris Ave, San Angelo, TX 76903 Phone: 325-657-5217
Dr. Kelly C. Hallmark, MD Pathology Medicare: Accepting Medicare Assignments Practice Location: 120 E Beauregard Ave, San Angelo, TX 76903 Phone: 325-747-1511
Joe A Mims, MD Pathology Medicare: Accepting Medicare Assignments Practice Location: 102 N Magdalen St, San Angelo, TX 76903 Phone: 325-658-1511

Jerry K Gideon, MD - Medicare Pathology in San Angelo, TX