Shelley Ethan Weiss, MD in Dallas, TX

Shelley Ethan Weiss, MD is a medicare enrolled "Pediatrics" physician in Dallas, Texas. His current practice location is 7777 Forest Ln Ste C550, Dallas, Texas. You can reach out to his office (for appointments etc.) via phone at (972) 566-4286.

Shelley Ethan Weiss is licensed to practice in Texas (license number L0958) 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 1699793760.

Contact Information

	Shelley Ethan Weiss, MD
	7777 Forest Ln Ste C550, Dallas, TX 75230-7518
	(972) 566-4286
	(972) 566-8634

Map and Direction

Physician's Profile

Full Name	Shelley Ethan Weiss
Gender	Male
Speciality	Pediatrics
Location	7777 Forest Ln Ste C550, 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: 1699793760
Provider Enumeration Date: 07/17/2006
Last Update Date: 09/20/2019

Medicare PECOS Information:

PECOS PAC ID: 6608838255
Enrollment ID: I20041027000547

Medical Identifiers

Medical identifiers for Shelley Ethan Weiss such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1699793760	NPI	-	NPPES
168133001	Medicaid	TX
168133002	Medicaid	TX

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208000000X	Pediatrics	L0958 (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. Shelley Ethan Weiss allows following entities to bill medicare on his behalf.

Entity Name	Texas Health Care Pllc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1477628873 PECOS PAC ID: 7214840867 Enrollment ID: O20031110000388

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. Shelley Ethan Weiss 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
Shelley Ethan Weiss, MD P.o. Box 961205, Fort Worth, TX 76161-1205 Ph: (817) 740-8450	Shelley Ethan Weiss, MD 7777 Forest Ln Ste C550, Dallas, TX 75230-7518 Ph: (972) 566-4286

Reviews and Comments

Pediatrics Doctors in Dallas, TX

Dr. Jyothsna Gattineni, M.D. Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 5323 Harry Hines Blvd, Dallas, TX 75390 Phone: 214-648-3438
Ruth Osei Fordjour, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 12221 Merit Dr, Suite 1500, Dallas, TX 75251 Phone: 214-957-4754
Dr. Alecia Curlene Nero, M.D. Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 5323 Harry Hines Blvd, Dallas, TX 75390 Phone: 214-648-4180
Dr. Sravani Avula, M.D. Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 5323 Harry Hines Blvd, Dallas, TX 75390 Phone: 214-730-5437
Asif Zia Khattak, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 3500 Gaston Ave, Dallas, TX 75246 Phone: 214-820-7604
Sadia Malik, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 5323 Harry Hines Boulevard, Dallas, TX 75390 Phone: 214-456-2533 Fax: 214-456-8130
Sana Jamil Siddiqui, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 5323 Harry Hines Boulevard, Dallas, TX 75390 Phone: 214-456-0488 Fax: 214-456-4486

Shelley Ethan Weiss, MD - Medicare Pediatrics in Dallas, TX