Healing Edge Medical Group - Tx is a medicare enrolled "Physician Assistant - Surgical" provider in Dallas, Texas. Their current practice location is
325 N Saint Paul St Ste 3100, Dallas, Texas. You can reach out to their office (for appointments etc.) via phone at
(213) 309-9528.
Healing Edge Medical Group - Tx is licensed to practice in * (Not Available) (license number ) and it also participates in the medicare program. Healing Edge Medical Group - Tx
is enrolled with medicare and should accept medicare assignments and since they are enrolled in medicare, they may order Medicare Part D Prescription drugs, if eligible. The facility's NPI Number is 1447003314.
Healthcare Provider's Profile
| Full Name | Healing Edge Medical Group - Tx |
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| Type | Facility |
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| Speciality | Physician Assistant - Surgical |
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| Location | 325 N Saint Paul St Ste 3100, Dallas, Texas |
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| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1447003314
- Provider Enumeration Date: 04/09/2024
- Last Update Date: 08/26/2024
Medicare PECOS Information:
- PECOS PAC ID: 6507303773
- Enrollment ID: O20240806000930
Medical Identifiers
Medical identifiers for Healing Edge Medical Group - Tx such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1447003314 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 213ES0103X | Podiatrist - Foot & Ankle Surgery | (* (Not Available)) | Secondary |
| 363AS0400X | Physician Assistant - Surgical | (* (Not Available)) | Primary |
Medicare Reassignments
Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works.
Healing Edge Medical Group - Tx acts as a billing entity for following providers:
| Provider Name | David B Kagan |
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| Provider Type | Practitioner - Internal Medicine |
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| Provider Identifiers | NPI Number: 1992965768
PECOS PAC ID: 7517154792
Enrollment ID: I20240905001049 |
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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. Healing Edge Medical Group - Tx 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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Healing Edge Medical Group - Tx
100 E Huntington Dr Ste 203,
Alhambra, CA 91801-1022
Ph: (213) 309-9528 | Healing Edge Medical Group - Tx
325 N Saint Paul St Ste 3100,
Dallas, TX 75201-3923
Ph: (213) 309-9528 |
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