Mr Jeffrey J Fanning, MD in Dallas, TX

Mr Jeffrey J Fanning, MD is a medicare enrolled "Pediatrics - Pediatric Critical Care Medicine" physician in Dallas, Texas. His current practice location is 7777 Forest Ln Ste D569, Dallas, Texas. You can reach out to his office (for appointments etc.) via phone at (972) 566-8340.

Mr Jeffrey J Fanning is licensed to practice in Texas (license number N1317) 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 1962442087.

Contact Information

	Mr Jeffrey J Fanning, MD
	7777 Forest Ln Ste D569, Dallas, TX 75230-6903
	(972) 566-8340
	(972) 566-8338

Map and Direction

Physician's Profile

Full Name	Mr Jeffrey J Fanning
Gender	Male
Speciality	Pediatrics - Pediatric Critical Care Medicine
Location	7777 Forest Ln Ste D569, 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: 1962442087
Provider Enumeration Date: 06/07/2006
Last Update Date: 03/09/2020

Medicare PECOS Information:

PECOS PAC ID: 1456355445
Enrollment ID: I20060906000067

Medical Identifiers

Medical identifiers for Mr Jeffrey J Fanning such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1962442087	NPI	-	NPPES
34843900	Medicaid	WI
204410903	Medicaid	TX

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
2080P0203X	Pediatrics - Pediatric Critical Care Medicine	48843 (Wisconsin)	Secondary
2080P0203X	Pediatrics - Pediatric Critical Care Medicine	N1317 (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. Mr Jeffrey J Fanning allows following entities to bill medicare on his behalf.

Entity Name	St. Nicholas Hospital-sisters Of The Third Order Of St Francis
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1275799413 PECOS PAC ID: 8325931652 Enrollment ID: O20040202001172

Entity Name	St Vincent Hospital-hospital Sisters-third Order Of St Francis
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1285613638 PECOS PAC ID: 5799694675 Enrollment ID: O20080620000423

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. Mr Jeffrey J Fanning 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
Mr Jeffrey J Fanning, MD Po Box 515055, Dallas, TX 75251-5055 Ph: (972) 566-8340	Mr Jeffrey J Fanning, MD 7777 Forest Ln Ste D569, Dallas, TX 75230-6903 Ph: (972) 566-8340

Reviews and Comments

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Mr Jeffrey J Fanning, MD - Medicare Pediatrics in Dallas, TX