Daniel Peckenpaugh, MD in Southlake, TX - Medicare Emergency Medicine

Daniel Peckenpaugh, MD is a medicare enrolled "Emergency Medicine" physician in Southlake, Texas. His current practice location is 1545 E Southlake Blvd, Southlake, Texas. You can reach out to his office (for appointments etc.) via phone at (817) 748-8700.

Daniel Peckenpaugh is licensed to practice in Texas (license number F7040) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1053387829.

Contact Information

	Daniel Peckenpaugh, MD
	1545 E Southlake Blvd, Southlake, TX 76092-6422
	(817) 748-8700
	Not Available

Map and Direction

Physician's Profile

Full Name	Daniel Peckenpaugh
Gender	Male
Speciality	Emergency Medicine
Location	1545 E Southlake Blvd, Southlake, Texas
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1053387829
Provider Enumeration Date: 02/23/2006
Last Update Date: 11/07/2019

Medicare PECOS Information:

PECOS PAC ID: 7517973498
Enrollment ID: I20101207000523

Medical Identifiers

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

Identifier	Type	State	Issuer
1053387829	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207P00000X	Emergency Medicine	F7040 (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. Daniel Peckenpaugh allows following entities to bill medicare on his behalf.

Entity Name	Southlake Emergicare Pllc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1598172033 PECOS PAC ID: 9638398258 Enrollment ID: O20140915000506

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. Daniel Peckenpaugh 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
Daniel Peckenpaugh, MD Po Box 720508, Norman, OK 73070-4373 Ph: (877) 485-4474	Daniel Peckenpaugh, MD 1545 E Southlake Blvd, Southlake, TX 76092-6422 Ph: (817) 748-8700

Reviews and Comments

Emergency Medicine Doctors in Southlake, TX

Robert Frank Lutz Iii, MD Emergency Medicine Medicare: May Accept Medicare Assignments Practice Location: 1545 E Southlake Blvd, Southlake, TX 76092 Phone: 817-557-8205
Kent Alan Taub, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 613 Fairway View Ter, Southlake, TX 76092 Phone: 214-649-1444
Kristina Marie Dennington, M.D. Emergency Medicine Medicare: Medicare Enrolled Practice Location: 630 N Kimball Avenue, Ste #100, Southlake, TX 76092 Phone: 817-421-8777 Fax: 817-421-4388
Meredith S Krebel, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 2727 E Southlake Blvd, Southlake, TX 76092 Phone: 682-885-6000 Fax: 682-885-6050
James Alan Dennington, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 630 N Kimball Ave, Ste#100, Southlake, TX 76092 Phone: 817-421-8777 Fax: 817-421-4388
Dr. Richard Jackson, MD Emergency Medicine Medicare: May Accept Medicare Assignments Practice Location: 505 Regency Xing, Southlake, TX 76092 Phone: 817-913-6144

Daniel Peckenpaugh, MD - Medicare Emergency Medicine in Southlake, TX