Dr Jeaneen Chappell, MD is a medicare enrolled "Dermatology" physician in Grand Prairie, Texas. Her current practice location is
4927 Lake Ridge Pkwy, Grand Prairie, Texas. You can reach out to her office (for appointments etc.) via phone at
(817) 466-8651.
Dr Jeaneen Chappell is licensed to practice in Texas (license number Q6501) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1497915623.
Physician's Profile
Full Name | Dr Jeaneen Chappell |
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Gender | Female |
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Speciality | Dermatology |
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Location | 4927 Lake Ridge Pkwy, Grand Prairie, Texas |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1497915623
- Provider Enumeration Date: 06/11/2008
- Last Update Date: 07/06/2023
Medicare PECOS Information:
- PECOS PAC ID: 4183843584
- Enrollment ID: I20160125000576
Medical Identifiers
Medical identifiers for Dr Jeaneen Chappell such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1497915623 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207N00000X | Dermatology | 01089686A (Indiana) | Secondary |
207N00000X | Dermatology | Q6501 (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. Dr Jeaneen Chappell allows following entities to bill medicare on her behalf.
Entity Name | Oliver Street 5.01(a) Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1457695413 PECOS PAC ID: 0042464125 Enrollment ID: O20130128000189 |
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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. Dr Jeaneen Chappell 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 Jeaneen Chappell, MD 4927 Lake Ridge Pkwy, Grand Prairie, TX 75052-3087 Ph: () - | Dr Jeaneen Chappell, MD 4927 Lake Ridge Pkwy, Grand Prairie, TX 75052-3087 Ph: (817) 466-8651 |
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