Jerry Northcutt, OD is a medicare enrolled "Optometrist" provider in Ennis, Texas. He went to University Of Houston - College Of Optometry and graduated in 1995 and has 29 years of diverse experience with area of expertise as Optometry. His current practice location is
2405 Yorkstown Dr, Ennis, Texas. You can reach out to his office (for appointments etc.) via phone at
(972) 878-3181.
Jerry Northcutt is licensed to practice in Texas (license number 5150TG) 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 1669521993.
Healthcare Provider's Profile
| Full Name | Jerry Northcutt |
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| Gender | Male |
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| Speciality | Optometry |
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| Experience | 29 Years |
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| Location | 2405 Yorkstown Dr, Ennis, Texas |
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| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Jerry Northcutt attended and graduated from University Of Houston - College Of Optometry in 1995
NPI Data:
- NPI Number: 1669521993
- Provider Enumeration Date: 01/09/2007
- Last Update Date: 07/23/2013
Medicare PECOS Information:
- PECOS PAC ID: 7214045053
- Enrollment ID: I20160318001678
Medical Identifiers
Medical identifiers for Jerry Northcutt such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1669521993 | NPI | - | NPPES |
| 0409989-01 | Medicaid | TX | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 152W00000X | Optometrist | 5150TG (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. Jerry Northcutt allows following entities to bill medicare on his behalf.
| Provider Name | Jerry Northcutt Pllc |
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| Provider Type | Part B Supplier - Clinic/group Practice |
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| Provider Identifiers | NPI Number: 1881686699
PECOS PAC ID: 1557339215
Enrollment ID: O20040921000102 |
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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. Jerry Northcutt 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 |
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Jerry Northcutt, OD
2405 Yorkstown Dr,
Ennis, TX 75119-2191
Ph: (972) 878-3181 | Jerry Northcutt, OD
2405 Yorkstown Dr,
Ennis, TX 75119-2191
Ph: (972) 878-3181 |
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