Stephanie Jacks, in Houston, TX - Medicare Pediatrics

Stephanie Jacks, is a medicare enrolled "Pediatrics" physician in Houston, Texas. Her current practice location is 6701 Fannin St, Houston, Texas. You can reach out to her office (for appointments etc.) via phone at (832) 824-1000.

Stephanie Jacks is licensed to practice in Texas (license number R4401) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1003041567.

Contact Information

	Stephanie Jacks,
	6701 Fannin St, Houston, TX 77030-2608
	(832) 824-1000
	Not Available

Map and Direction

Physician's Profile

Full Name	Stephanie Jacks
Gender	Female
Speciality	Pediatrics
Location	6701 Fannin St, Houston, Texas
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1003041567
Provider Enumeration Date: 05/27/2009
Last Update Date: 12/17/2021

Medicare PECOS Information:

PECOS PAC ID: 2466692967
Enrollment ID: I20220808001197

Medical Identifiers

Medical identifiers for Stephanie Jacks such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1003041567	NPI	-	NPPES
P01500386	Other	MS	RAILROAD MEDICARE PTAN
06536832	Medicaid	MS

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207N00000X	Dermatology	R4401 (Texas)	Secondary
208000000X	Pediatrics	R4401 (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. Stephanie Jacks allows following entities to bill medicare on her behalf.

Entity Name	Permanente Medical Group Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1073606299 PECOS PAC ID: 8921910225 Enrollment ID: O20031104000710

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. Stephanie Jacks 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
Stephanie Jacks, 2450 Holcombe Blvd Ste Nb-34l, Houston, TX 77021-2039 Ph: (832) 828-3660	Stephanie Jacks, 6701 Fannin St, Houston, TX 77030-2608 Ph: (832) 824-1000

Reviews and Comments

Pediatrics Doctors in Houston, TX

Sonia Ann Monteiro, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 6701 Fannin St, Houston, TX 77030 Phone: 832-824-1000
Meenakshi G Hegde, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 6701 Fannin St, Houston, TX 77030 Phone: 832-824-1000
Rebecca Jean Chancey, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 6621a Fannin St., Houston, TX 77030 Phone: 713-770-5454
Lisa R Lapeze, DO Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 18338 Kingsland Blvd, Suite 210, Houston, TX 77094 Phone: 281-599-7334 Fax: 281-599-7040
Elvis Aaron Cavazos, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 14730 Barryknoll Ln, Houston, TX 77079 Phone: 281-496-9700 Fax: 281-496-7821
Marlene D. Typaldos Sanchez, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 6701 Fannin St Ste 1040, Houston, TX 77030 Phone: 832-822-3309 Fax: 832-825-3308
Zachary Foughty, Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 6621 Fannin St, Houston, TX 77030 Phone: 832-824-1173

Stephanie Jacks, - Medicare Pediatrics in Houston, TX