Kenneth M Jastrow Iii, MD in San Angelo, TX

Kenneth M Jastrow Iii, MD is a medicare enrolled "Surgery" physician in San Angelo, Texas. He graduated from medical school in 2012 and has 12 years of diverse experience with area of expertise as General Surgery. He is a member of the group practice Shannon Clinic and his current practice location is 102 N Magdalen St, San Angelo, Texas. You can reach out to his office (for appointments etc.) via phone at (325) 658-1511.

Kenneth M Jastrow Iii is licensed to practice in Texas (license number P4968) 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 1740556448.

Contact Information

	Kenneth M Jastrow Iii, MD
	102 N Magdalen St, San Angelo, TX 76903-5400
	(325) 658-1511
	(325) 481-2165

Map and Direction

Physician's Profile

Full Name	Kenneth M Jastrow Iii
Gender	Male
Speciality	General Surgery
Experience	12 Years
Location	102 N Magdalen St, 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:

Kenneth M Jastrow Iii graduated from medical school in 2012

NPI Data:

NPI Number: 1740556448
Provider Enumeration Date: 03/27/2012
Last Update Date: 04/23/2018

Medicare PECOS Information:

PECOS PAC ID: 4587829775
Enrollment ID: I20120714000037

Medical Identifiers

Medical identifiers for Kenneth M Jastrow Iii such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1740556448	NPI	-	NPPES
TXB154908	Other	TX	MEDICARE PTAN
8DN791	Other	TX	BCBS

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208600000X	Surgery	P4968 (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. Kenneth M Jastrow Iii allows following entities to bill medicare on his behalf.

Entity Name	Ut Physicians
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1033157821 PECOS PAC ID: 8426960360 Enrollment ID: O20031107000268

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. Kenneth M Jastrow Iii 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
Kenneth M Jastrow Iii, MD Po Box 22000, San Angelo, TX 76902-7200 Ph: (325) 658-1511	Kenneth M Jastrow Iii, MD 102 N Magdalen St, San Angelo, TX 76903-5400 Ph: (325) 658-1511

Reviews and Comments

Surgery Doctors in San Angelo, TX

Dr. Michael Keesey Boyd, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 102 N Magdalen St, San Angelo, TX 76903 Phone: 325-747-2344
Richard Vandegraaf, MD Surgery Medicare: Medicare Enrolled Practice Location: 102 N Magdalen St, San Angelo, TX 76903 Phone: 325-481-2344
Emmette T Flynn, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 102 N Magdalen St, San Angelo, TX 76903 Phone: 325-658-1511
Jess M Cornell, MD Surgery Medicare: Not Enrolled in Medicare Practice Location: 102 N Magdalen St, San Angelo, TX 76903 Phone: 325-658-1511
Dr. Charles Leonard Cecil Iv, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 120 E Beauregard Ave, San Angelo, TX 76903 Phone: 325-481-2231
William F Whitehead Iii, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 120 E Beauregard Ave, San Angelo, TX 76903 Phone: 325-658-1511
John S Cargile Iii, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 102 N Magdalen St, San Angelo, TX 76903 Phone: 325-658-1511

Kenneth M Jastrow Iii, MD - Medicare General Surgery in San Angelo, TX