Jill Suzanne Humphrey, MD in San Marcos, TX

Jill Suzanne Humphrey, MD is a medicare enrolled "Pediatrics" physician in San Marcos, Texas. Her current practice location is 1320 Wonder World Dr Ste 101, San Marcos, Texas. You can reach out to her office (for appointments etc.) via phone at (512) 392-1700.

Jill Suzanne Humphrey is licensed to practice in Texas (license number M4181) 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 1790874402.

Contact Information

	Jill Suzanne Humphrey, MD
	1320 Wonder World Dr Ste 101, San Marcos, TX 78666-7558
	(512) 392-1700
	(512) 396-8743

Map and Direction

Physician's Profile

Full Name	Jill Suzanne Humphrey
Gender	Female
Speciality	Pediatrics
Location	1320 Wonder World Dr Ste 101, San Marcos, Texas
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1790874402
Provider Enumeration Date: 10/12/2006
Last Update Date: 02/23/2024

Medicare PECOS Information:

PECOS PAC ID: 3173625852
Enrollment ID: I20070227000322

Medical Identifiers

Medical identifiers for Jill Suzanne Humphrey such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1790874402	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208000000X	Pediatrics	24836 (Nevada)	Secondary
208000000X	Pediatrics	M4181 (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. Jill Suzanne Humphrey allows following entities to bill medicare on her behalf.

Entity Name	Corridor Primary Care, Pa
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1124050836 PECOS PAC ID: 4183669070 Enrollment ID: O20050621001307

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. Jill Suzanne Humphrey 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
Jill Suzanne Humphrey, MD 1320 Wonder World Dr Ste 101, San Marcos, TX 78666-7558 Ph: (512) 392-1700	Jill Suzanne Humphrey, MD 1320 Wonder World Dr Ste 101, San Marcos, TX 78666-7558 Ph: (512) 392-1700

Reviews and Comments

Pediatrics Doctors in San Marcos, TX

Dr. Ivri K Messinger, D.O. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 601b Leah Ave, San Marcos, TX 78666 Phone: 512-392-1700 Fax: 512-396-8743
Dr. Julie Michele Fisher, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 601 Leah Ave, San Marcos, TX 78666 Phone: 512-392-1700 Fax: 512-396-8743
Michelle E Miller, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 601b Leah Ave, San Marcos, TX 78666 Phone: 512-392-1700 Fax: 512-396-8743
Michael J Grady, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 601b Leah Ave, San Marcos, TX 78666 Phone: 512-392-1700 Fax: 512-396-8743
Nicole Hannemann Hartman, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 601 Leah Ave, San Marcos, TX 78666 Phone: 512-392-1700
Sue Ann Harrison, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 601b Leah Ave, San Marcos, TX 78666 Phone: 512-392-1700 Fax: 512-396-8743
Jeanne E. Flinn, D.O. Pediatrics Medicare: Medicare Enrolled Practice Location: 601b Leah Ave, San Marcos, TX 78666 Phone: 512-392-1700 Fax: 512-396-8743

Jill Suzanne Humphrey, MD - Medicare Pediatrics in San Marcos, TX