Dr Basem Jassin, MD is a
Otolaryngology physician based in Ennis, Texas. Dr Basem Jassin is licensed to practice in Texas (license number L3693) and his current practice location is 818 W Ennis Ave, Ennis, Texas. He can be reached at his office (for appointments etc.) via phone at
(972) 875-9700.
NPI number for Dr Basem Jassin is 1336124130 and his current mailing address is 818 W Ennis Ave, Ennis, Texas. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1336124130.
Physician's Profile
| Full Name | Dr Basem Jassin |
|---|
| Gender | Male |
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| Speciality | Otolaryngology |
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| Location | 818 W Ennis Ave, Ennis, Texas |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1336124130
- Provider Enumeration Date: 12/14/2005
- Last Update Date: 09/22/2010
Medical Identifiers
Medical identifiers for Dr Basem Jassin such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1336124130 | NPI | - | NPPES |
| 0047JG | Other | TX | BCBS IND # |
| 040017501 | Other | TX | RAILROAD MC |
| 153978501 | Medicaid | TX | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 207Y00000X | Otolaryngology | L3693 (Texas) | Primary |
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 Basem Jassin is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Dr Basem Jassin, MD
818 W Ennis Ave,
Ennis, TX 75119-3810
Ph: (972) 875-9700 | Dr Basem Jassin, MD
818 W Ennis Ave,
Ennis, TX 75119-3810
Ph: (972) 875-9700 |
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