Jonathan Reeder, MD is a medicare enrolled "Student In An Organized Health Care Education/training Program" physician in Dallas, Texas. His current practice location is
5323 Harry Hines Blvd, Dallas, Texas. You can reach out to his office (for appointments etc.) via phone at
(214) 648-3111.
Jonathan Reeder is licensed to practice in * (Not Available) (license number ) 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 1063974426.
Physician's Profile
Full Name | Jonathan Reeder |
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Gender | Male |
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Speciality | Student In An Organized Health Care Education/training Program |
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Location | 5323 Harry Hines Blvd, Dallas, Texas |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1063974426
- Provider Enumeration Date: 04/04/2019
- Last Update Date: 10/31/2022
Medicare PECOS Information:
- PECOS PAC ID: 9032514740
- Enrollment ID: I20210818002943
Medical Identifiers
Medical identifiers for Jonathan Reeder such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1063974426 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207P00000X | Emergency Medicine | S9784 (Texas) | Secondary |
390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | 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. Jonathan Reeder allows following entities to bill medicare on his behalf.
Entity Name | University Of Texas Southwestern Medical Center At Dallas |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1972579365 PECOS PAC ID: 0648188250 Enrollment ID: O20031106000792 |
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Entity Name | Concord Medical Group Pllc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1083630610 PECOS PAC ID: 0446296818 Enrollment ID: O20050707000531 |
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Entity Name | Concord Medical Group Of Texas Pllc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1750790762 PECOS PAC ID: 7810117223 Enrollment ID: O20141007002567 |
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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. Jonathan Reeder 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 |
Jonathan Reeder, MD 5323 Harry Hines Blvd, Dallas, TX 75390-7201 Ph: () - | Jonathan Reeder, MD 5323 Harry Hines Blvd, Dallas, TX 75390-7201 Ph: (214) 648-3111 |
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