Dr Jason K Potter, MD, DDS is a medicare enrolled "Specialist" provider in Dallas, Texas. He went to University Of Texas Southwestern Medical School At Dallas and graduated in 2005 and has 21 years of diverse experience with area of expertise as Plastic And Reconstructive Surgery. He is a member of the group practice Jason K Potter Md Dds Pa and his current practice location is
8220 Walnut Hill Ln, Suite 206, Dallas, Texas. You can reach out to his office (for appointments etc.) via phone at
(214) 930-6588.
Dr Jason K Potter is licensed to practice in Texas (license number M6345) 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 1467449207.
Healthcare Provider's Profile
| Full Name | Dr Jason K Potter |
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| Gender | Male |
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| Speciality | Plastic And Reconstructive Surgery |
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| Experience | 21 Years |
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| Location | 8220 Walnut Hill Ln, Dallas, 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. |
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Medical Education and Training:
- Dr Jason K Potter attended and graduated from University Of Texas Southwestern Medical School At Dallas in 2005
NPI Data:
- NPI Number: 1467449207
- Provider Enumeration Date: 10/05/2005
- Last Update Date: 10/22/2008
Medicare PECOS Information:
- PECOS PAC ID: 6507898962
- Enrollment ID: I20081103000559
Medical Identifiers
Medical identifiers for Dr Jason K Potter such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1467449207 | NPI | - | NPPES |
| 269840 | Medicaid | OR | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 1223S0112X | Dentist - Oral And Maxillofacial Surgery | M6345 (Texas) | Secondary |
| 174400000X | Specialist | M6345 (Texas) | Primary |
| 204E00000X | Oral & Maxillofacial Surgery | MD25735 (Oregon) | Secondary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Jason K Potter Md Dds Pa | 2466511688 | 2 |
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 Jason K Potter allows following entities to bill medicare on his behalf.
| Entity Name | Jason K Potter MD DDS PA |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1164608709
PECOS PAC ID: 2466511688
Enrollment ID: O20081103000597 |
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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 Jason K Potter 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 Jason K Potter, MD, DDS
Po Box 93982,
Southlake, TX 76092-0119
Ph: (214) 930-6588 | Dr Jason K Potter, MD, DDS
8220 Walnut Hill Ln, Suite 206,
Dallas, TX 75231-4427
Ph: (214) 930-6588 |
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