Mr Kenneth Gerald Jr, in Desoto, TX - Medicare Nurse Practitioner

Mr Kenneth Gerald Jr, is a medicare enrolled "Nurse Practitioner - Family" in Desoto, Texas. His current practice location is 731 W Belt Line Rd # 101, Desoto, Texas. You can reach out to his office (for appointments etc.) via phone at (972) 525-9900.

Mr Kenneth Gerald Jr is licensed to practice in Texas (license number AP141564) 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 1487204392.

Contact Information

	Mr Kenneth Gerald Jr,
	731 W Belt Line Rd # 101, Desoto, TX 75115-4955
	(972) 525-9900
	(469) 333-7988

Map and Direction

Provider's Profile

Full Name	Mr Kenneth Gerald Jr
Gender	Male
Speciality	Nurse Practitioner - Family
Location	731 W Belt Line Rd # 101, Desoto, Texas
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1487204392
Provider Enumeration Date: 09/13/2019
Last Update Date: 01/26/2023

Medicare PECOS Information:

PECOS PAC ID: 3072930643
Enrollment ID: I20200827000820

Medical Identifiers

Medical identifiers for Mr Kenneth Gerald Jr such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1487204392	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	AP141564 (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 Kenneth Gerald Jr allows following entities to bill medicare on his behalf.

Entity Name	Dallas County Hospital District
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1831198506 PECOS PAC ID: 8325934813 Enrollment ID: O20040315000583

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 Kenneth Gerald Jr 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 Kenneth Gerald Jr, Po Box 360541, Pittsburgh, PA 15251-6541 Ph: (972) 525-9900	Mr Kenneth Gerald Jr, 731 W Belt Line Rd # 101, Desoto, TX 75115-4955 Ph: (972) 525-9900

Reviews and Comments

Nurse Practitioner Nurses in Desoto, TX

Emelda Olisaeke, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 941 York Dr, Desoto, TX 75115 Phone: 972-283-6286
Margaret Uyai Okon, FNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1670 N Hampton Rd, Suite 100, Desoto, TX 75115 Phone: 972-228-3678
Etenesh Molla, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2727 Bolton Boone Dr Ste 109, Desoto, TX 75115 Phone: 469-988-4277
Lori Elizabeth Secerovic, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1111 South Interstate 35 East, Desoto, TX 75115 Phone: 469-341-7800
Smart Nwachukwu, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 341 Crystal Lake Dr, Desoto, TX 75115 Phone: 214-872-0280
Crystal Taylor Capler, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 951 York Dr Ste 105, Desoto, TX 75115 Phone: 214-242-9316
Jennifer Mccormack, APRN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2715 Bolton Boone Dr Ste B, Desoto, TX 75115 Phone: 972-780-8009 Fax: 972-780-6115

Mr Kenneth Gerald Jr, - Medicare Nurse Practitioner in Desoto, TX