Johnnie Wayne Faircloth Jr, MD in Amarillo, TX

Johnnie Wayne Faircloth Jr, MD is a medicare enrolled "Pediatrics" physician in Amarillo, Texas. His current practice location is 1400 S Coulter St, Amarillo, Texas. You can reach out to his office (for appointments etc.) via phone at (806) 414-9800.

Johnnie Wayne Faircloth Jr is licensed to practice in Texas (license number N7537) 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 1912168600.

Contact Information

	Johnnie Wayne Faircloth Jr, MD
	1400 S Coulter St, Amarillo, TX 79106-1786
	(806) 414-9800
	(806) 354-5689

Map and Direction

Physician's Profile

Full Name	Johnnie Wayne Faircloth Jr
Gender	Male
Speciality	Pediatrics
Location	1400 S Coulter St, Amarillo, Texas
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1912168600
Provider Enumeration Date: 06/24/2008
Last Update Date: 07/18/2016

Medicare PECOS Information:

PECOS PAC ID: 4082882402
Enrollment ID: I20110729000091

Medical Identifiers

Medical identifiers for Johnnie Wayne Faircloth Jr such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1912168600	NPI	-	NPPES
280457704	Medicaid	TX
280457702	Medicaid	TX
200340500 A	Medicaid	OK
67474560	Medicaid	NM

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208000000X	Pediatrics	N7537 (Texas)	Primary
2080S0010X	Pediatrics - Sports Medicine	N7537 (Texas)	Secondary

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. Johnnie Wayne Faircloth Jr allows following entities to bill medicare on his behalf.

Entity Name	Texas Tech University Health Sciences Center Amarillo
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1013942150 PECOS PAC ID: 9234037847 Enrollment ID: O20031220000051

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. Johnnie Wayne Faircloth Jr 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
Johnnie Wayne Faircloth Jr, MD 1400 Wallace Blvd, Amarillo, TX 79106-1708 Ph: (806) 414-9800	Johnnie Wayne Faircloth Jr, MD 1400 S Coulter St, Amarillo, TX 79106-1786 Ph: (806) 414-9800

Reviews and Comments

Pediatrics Doctors in Amarillo, TX

Mrs. Cynthia Milagros Correa-colon, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 6010 W Amarillo Blvd, Amarillo, TX 79106 Phone: 806-355-9703
Dr. Kinsley Ann Stepka, DO Pediatrics Medicare: Medicare Enrolled Practice Location: 1400 S Coulter St Ste 1500, Amarillo, TX 79106 Phone: 806-414-9800
Muhammad Asif Qureshi, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 1400 S Coulter St, Amarillo, TX 79106 Phone: 806-354-5630 Fax: 806-354-5568
Shu Shum, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1801 Halstead St, Amarillo, TX 79106 Phone: 806-358-8526 Fax: 806-358-0179
Robin Elaine Martinez, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 6305 Sunlake Dr, Amarillo, TX 79124 Phone: 806-352-1020
Jason Nirgiotis, MD Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 1400 S Coulter St, Amarillo, TX 79106 Phone: 806-414-9800 Fax: 806-354-5689
Dr. Debbie Pamela Hoving, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1901 Medi Park Dr Ste 200, Amarillo, TX 79106 Phone: 806-468-4350 Fax: 806-468-4351

Johnnie Wayne Faircloth Jr, MD - Medicare Pediatrics in Amarillo, TX