Dr John Kanitra, MD in Dallas, TX

Dr John Kanitra, MD is a medicare enrolled "Surgery - Vascular Surgery" physician in Dallas, Texas. His current practice location is 3500 Gaston Ave Ste 1013, Dallas, Texas. You can reach out to his office (for appointments etc.) via phone at (469) 814-3518.

Dr John Kanitra is licensed to practice in Texas (license number BP10084099) 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 1730676362.

Contact Information

	Dr John Kanitra, MD
	3500 Gaston Ave Ste 1013, Dallas, TX 75246-2088
	(469) 814-3518
	(469) 814-4854

Map and Direction

Physician's Profile

Full Name	Dr John Kanitra
Gender	Male
Speciality	Surgery - Vascular Surgery
Location	3500 Gaston Ave Ste 1013, Dallas, Texas
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1730676362
Provider Enumeration Date: 04/19/2018
Last Update Date: 10/14/2024

Medicare PECOS Information:

PECOS PAC ID: 7810251808
Enrollment ID: I20230608003527

Medical Identifiers

Medical identifiers for Dr John Kanitra such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1730676362	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208600000X	Surgery	4301504105 (Michigan)	Secondary
2086S0129X	Surgery - Vascular Surgery	BP10084099 (Texas)	Primary

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. Dr John Kanitra 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
Dr John Kanitra, MD 3500 Gaston Ave, 3 Y-wing, L3.2004, Dallas, TX 75246-2088 Ph: (469) 814-3518	Dr John Kanitra, MD 3500 Gaston Ave Ste 1013, Dallas, TX 75246-2088 Ph: (469) 814-3518

Reviews and Comments

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Dr John Kanitra, MD - Medicare Surgery in Dallas, TX