Theodore E Hackl, in San Angelo, TX - Medicare Ophthalmology

Theodore E Hackl, is a medicare enrolled "Ophthalmology" physician in San Angelo, Texas. He went to Texas Tech University Health Science Center School Of Medicine and graduated in 2008 and has 16 years of diverse experience with area of expertise as Ophthalmology. He is a member of the group practice Shannon Clinic and his current practice location is 3605 Executive Dr, San Angelo, Texas. You can reach out to his office (for appointments etc.) via phone at (325) 949-9555.

Theodore E Hackl is licensed to practice in Texas (license number P2662) 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 1881857662.

Contact Information

	Theodore E Hackl,
	3605 Executive Dr, San Angelo, TX 76904-6884
	(325) 949-9555
	Not Available

Map and Direction

Physician's Profile

Full Name	Theodore E Hackl
Gender	Male
Speciality	Ophthalmology
Experience	16 Years
Location	3605 Executive Dr, 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:

Theodore E Hackl attended and graduated from Texas Tech University Health Science Center School Of Medicine in 2008

NPI Data:

NPI Number: 1881857662
Provider Enumeration Date: 07/02/2008
Last Update Date: 06/09/2014

Medicare PECOS Information:

PECOS PAC ID: 9830354596
Enrollment ID: I20120702000114

Medical Identifiers

Medical identifiers for Theodore E Hackl such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1881857662	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207W00000X	Ophthalmology	P2662 (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. Theodore E Hackl allows following entities to bill medicare on his behalf.

Entity Name	Shannon Clinic
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1770587149 PECOS PAC ID: 0840103727 Enrollment ID: O20031222000702

Entity Name	Health And Human Services Commission
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1356414692 PECOS PAC ID: 2163795824 Enrollment ID: O20170908001058

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. Theodore E Hackl 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
Theodore E Hackl, 3555 Knickerbocker Rd, San Angelo, TX 76904-7610 Ph: (325) 949-9555	Theodore E Hackl, 3605 Executive Dr, San Angelo, TX 76904-6884 Ph: (325) 949-9555

Reviews and Comments

Ophthalmology Doctors in San Angelo, TX

Shun H Lui, MD Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: 4450 Sunset Drive, San Angelo, TX 76904 Phone: 325-481-2286
Daniel M Wilson, MD Ophthalmology Medicare: Medicare Enrolled Practice Location: 4450 Sunset Drive, San Angelo, TX 76904 Phone: 325-655-1434
William Burkes, M.D. Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: 3605 Executive Dr, San Angelo, TX 76904 Phone: 325-224-5811
Mr. John L Barnes, MD Ophthalmology Medicare: Not Enrolled in Medicare Practice Location: 319 West Harris Avenue, San Angelo, TX 76903 Phone: 325-658-8595 Fax: 325-658-5408
Dr. Douglas J Kappelmann, MD Ophthalmology Medicare: Not Enrolled in Medicare Practice Location: 3605 Executive Dr, San Angelo, TX 76904 Phone: 325-224-5252
Kenton H Fish, MD Ophthalmology Medicare: Not Enrolled in Medicare Practice Location: 4450 Sunset Drive, San Angelo, TX 76904 Phone: 325-658-1511

Theodore E Hackl, - Medicare Ophthalmology in San Angelo, TX