Jeremiah Daniel Pavelka, MD in Fort Worth, TX

Jeremiah Daniel Pavelka, MD is a medicare enrolled "Emergency Medicine" physician in Fort Worth, Texas. He went to University Of Nevada School Of Medicine and graduated in 2019 and has 5 years of diverse experience with area of expertise as Emergency Medicine. He is a member of the group practice Chandler Emergency Medical Group Llc and his current practice location is 1500 S Main St, Fort Worth, Texas. You can reach out to his office (for appointments etc.) via phone at (817) 702-8840.

Jeremiah Daniel Pavelka is licensed to practice in Arizona (license number 69466) 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 1902366370.

Contact Information

	Jeremiah Daniel Pavelka, MD
	1500 S Main St, Fort Worth, TX 76104-4917
	(817) 702-8840
	Not Available

Map and Direction

Physician's Profile

Full Name	Jeremiah Daniel Pavelka
Gender	Male
Speciality	Emergency Medicine
Experience	5 Years
Location	1500 S Main St, Fort Worth, 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:

Jeremiah Daniel Pavelka attended and graduated from University Of Nevada School Of Medicine in 2019

NPI Data:

NPI Number: 1902366370
Provider Enumeration Date: 03/22/2019
Last Update Date: 08/05/2023

Medicare PECOS Information:

PECOS PAC ID: 7719376169
Enrollment ID: I20230703000556

Medical Identifiers

Medical identifiers for Jeremiah Daniel Pavelka such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1902366370	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207P00000X	Emergency Medicine	T2715 (Texas)	Secondary
390200000X	Student In An Organized Health Care Education/training Program	(* (Not Available))	Secondary
207P00000X	Emergency Medicine	69466 (Arizona)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Banner Desert Medical Center	Mesa, AZ	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Chandler Emergency Medical Group Llc	1658272968	44

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 Daniel Pavelka allows following entities to bill medicare on his behalf.

Entity Name	Chandler Emergency Medical Group Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1104871961 PECOS PAC ID: 1658272968 Enrollment ID: O20040120000160

Entity Name	Progressive Medical Associates Pllc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1548218613 PECOS PAC ID: 7113829599 Enrollment ID: O20040308001331

Entity Name	Cep America- Arizona, Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1780202804 PECOS PAC ID: 1850541970 Enrollment ID: O20121026000403

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 Daniel Pavelka 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 Daniel Pavelka, MD 1744 E Evergreen St, Mesa, AZ 85203-5802 Ph: (702) 281-7873	Jeremiah Daniel Pavelka, MD 1500 S Main St, Fort Worth, TX 76104-4917 Ph: (817) 702-8840

Reviews and Comments

Emergency Medicine Doctors in Fort Worth, TX

Anna Burns Schroeder, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 6451 Brentwood Stair Rd, Suite 202, Fort Worth, TX 76112 Phone: 713-858-4684
Joey Mayor, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 1400 8th Ave, Fort Worth, TX 76104 Phone: 214-712-2074 Fax: 214-712-2444
Don Stewart Harper, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 6451 Brentwood Stair Rd, Suite 200, Fort Worth, TX 76112 Phone: 817-507-1770 Fax: 817-507-1771
Dr. Britton Michael Devillier, M.D., M.P.H. Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 801 7th Ave, Fort Worth, TX 76104 Phone: 682-885-4095 Fax: 682-885-7499
Lacey A Mcdaniel, PA-C Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 7001 Granbury Rd, Fort Worth, TX 76133 Phone: 817-346-1925 Fax: 817-292-7237
Dr. Rafael Andres Raya, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 3101 N Tarrant Pkwy, Fort Worth, TX 76177 Phone: 817-639-1000
Mr. Karim S Jamal, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 11801 S. Freeway, Fort Worth, TX 76134 Phone: 817-293-9110

Jeremiah Daniel Pavelka, MD - Medicare Emergency Medicine in Fort Worth, TX