Dr Jack B Stephenson Iv, MD in Tyler, TX - Medicare Plastic And Reconstructive Surgery

Dr Jack B Stephenson Iv, MD is a medicare enrolled "Orthopaedic Surgery - Hand Surgery" physician in Tyler, Texas. He went to Baylor College Of Medicine and graduated in 2007 and has 17 years of diverse experience with area of expertise as Plastic And Reconstructive Surgery. He is a member of the group practice Christus Trinity Clinic and his current practice location is 8591 S Broadway Ave, Tyler, Texas. You can reach out to his office (for appointments etc.) via phone at (903) 596-9173.

Dr Jack B Stephenson Iv is licensed to practice in Texas (license number P5238) 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 1972624542.

Contact Information

	Dr Jack B Stephenson Iv, MD
	8591 S Broadway Ave, Tyler, TX 75703-5470
	(903) 596-9173
	Not Available

Map and Direction

Physician's Profile

Full Name	Dr Jack B Stephenson Iv
Gender	Male
Speciality	Plastic And Reconstructive Surgery
Experience	17 Years
Location	8591 S Broadway Ave, Tyler, 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:

Dr Jack B Stephenson Iv attended and graduated from Baylor College Of Medicine in 2007

NPI Data:

NPI Number: 1972624542
Provider Enumeration Date: 04/02/2007
Last Update Date: 12/06/2022

Medicare PECOS Information:

PECOS PAC ID: 5193943611
Enrollment ID: I20140826000332

Medical Identifiers

Medical identifiers for Dr Jack B Stephenson Iv such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1972624542	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207XS0106X	Orthopaedic Surgery - Hand Surgery	P5238 (Texas)	Primary
208200000X	Plastic Surgery	P5238 (Texas)	Secondary
2082S0105X	Plastic Surgery - Surgery Of The Hand	P5238 (Texas)	Secondary
2086S0122X	Surgery - Plastic And Reconstructive Surgery	P5238 (Texas)	Secondary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Christus Mother Frances Hospital	Tyler, TX	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Christus Trinity Clinic	3072426741	1227

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. Dr Jack B Stephenson Iv allows following entities to bill medicare on his behalf.

Entity Name	Christus Trinity Clinic
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1285684225 PECOS PAC ID: 3072426741 Enrollment ID: O20031204001091

Entity Name	Childrens Plastic Surgery Pllc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1982977872 PECOS PAC ID: 1557519675 Enrollment ID: O20120914000587

Entity Name	Acute Care Plastic Surgery Pllc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1427475631 PECOS PAC ID: 3274756978 Enrollment ID: O20140528000512

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. Dr Jack B Stephenson Iv 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
Dr Jack B Stephenson Iv, MD Po Box 846098, Dallas, TX 75284-6098 Ph: (903) 606-6400	Dr Jack B Stephenson Iv, MD 8591 S Broadway Ave, Tyler, TX 75703-5470 Ph: (903) 596-9173

Reviews and Comments

Orthopaedic Surgery Doctors in Tyler, TX

Dr. Brandon A Tinkler, MD Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 1327 Troup Hwy, Tyler, TX 75701 Phone: 903-510-1121 Fax: 903-510-1121
Dr. William R Hobbs, MD Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 1327 Troup Hwy, Tyler, TX 75701 Phone: 903-510-8840
Dr. Andrew Hester, M.D. Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 3414 Golden Rd, Tyler, TX 75701 Phone: 903-939-7500 Fax: 903-939-7728
Thomas B Volatile, MD Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 1327 Troup Hwy, Tyler, TX 75701 Phone: 903-510-8840
Wesley L Castle, P.A.-C Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 1327 Troup Hwy, Tyler, TX 75701 Phone: 903-510-8840
Dr. Roger Lee Mccown, DO Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 1327 Troup Hwy, Tyler, TX 75701 Phone: 903-510-8840
Mr. Kim Alan Foreman, MD Orthopedic Surgery Medicare: Not Enrolled in Medicare Practice Location: 8101 S Broadway Ave, Suite 200, Tyler, TX 75703 Phone: 903-561-2495 Fax: 800-848-0426

Dr Jack B Stephenson Iv, MD - Medicare Plastic And Reconstructive Surgery in Tyler, TX