Jeremiah Sisay, PHARMD, MD is a medicare enrolled "Internal Medicine" provider in Mesquite, Texas. He went to University Of Kansas School Of Med (kc/wich/sal) and graduated in 2014 and has 10 years of diverse experience with area of expertise as Internal Medicine. His current practice location is
2698 N Galloway Ave Ste 101, Mesquite, Texas. You can reach out to his office (for appointments etc.) via phone at
(972) 288-1662.
Jeremiah Sisay is licensed to practice in Texas (license number R1649) 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 1194098111.
Healthcare Provider's Profile
Full Name | Jeremiah Sisay |
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Gender | Male |
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Speciality | Internal Medicine |
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Experience | 10 Years |
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Location | 2698 N Galloway Ave Ste 101, Mesquite, 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. |
Medical Education and Training:
- Jeremiah Sisay attended and graduated from University Of Kansas School Of Med (kc/wich/sal) in 2014
NPI Data:
- NPI Number: 1194098111
- Provider Enumeration Date: 02/22/2012
- Last Update Date: 03/25/2019
Medicare PECOS Information:
- PECOS PAC ID: 4385943059
- Enrollment ID: I20170918003285
Medical Identifiers
Medical identifiers for Jeremiah Sisay such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1194098111 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
183500000X | Pharmacist | 1-13931 (Kansas) | Secondary |
207R00000X | Internal Medicine | R1649 (Texas) | Primary |
Medical Facilities Affiliation
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. Jeremiah Sisay allows following entities to bill medicare on his behalf.
Entity Name | Apogee Medical Group Texas Pa |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1558318071 PECOS PAC ID: 9436151792 Enrollment ID: O20070215000533 |
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Entity Name | Premier Phc Physician Group Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1538579347 PECOS PAC ID: 5698098812 Enrollment ID: O20150806011422 |
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Entity Name | Jeremiah Sisay Pharmd Md Pllc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1497217145 PECOS PAC ID: 1557695608 Enrollment ID: O20190625000583 |
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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. Jeremiah Sisay 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 |
Jeremiah Sisay, PHARMD, MD 2698 N Galloway Ave Ste 101, Mesquite, TX 75150-6384 Ph: (940) 442-5209 | Jeremiah Sisay, PHARMD, MD 2698 N Galloway Ave Ste 101, Mesquite, TX 75150 Ph: (972) 288-1662 |
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