Dr Ivan Manuel Dequesada Ii, MD in Fort Worth, TX

Dr Ivan Manuel Dequesada Ii, MD is a medicare enrolled "Radiology - Diagnostic Radiology" physician in Fort Worth, Texas. He went to University Of Florida College Of Medicine and graduated in 2010 and has 15 years of diverse experience with area of expertise as Diagnostic Radiology. He is a member of the group practice Crawford Andrews And Davis Ptr, Radiology Associates Of North Texas Pa, Radiology Associates Of North Texas Pa, Radiology Associates Of North Texas Pa, Ochsner Clinic Llc and his current practice location is 815 Pennsylvania Ave, Fort Worth, Texas. You can reach out to his office (for appointments etc.) via phone at (817) 321-0300.

Dr Ivan Manuel Dequesada Ii is licensed to practice in Texas (license number Q7548) and he also participates in the medicare program. He may accept medicare assignments (which means he may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance) and his NPI Number is 1780902593.

Contact Information

	Dr Ivan Manuel Dequesada Ii, MD
	815 Pennsylvania Ave, Fort Worth, TX 76104-2224
	(817) 321-0300
	Not Available

Map and Direction

Physician's Profile

Full Name	Dr Ivan Manuel Dequesada Ii
Gender	Male
Speciality	Diagnostic Radiology
Experience	15 Years
Location	815 Pennsylvania Ave, Fort Worth, Texas
Accepts Medicare Assignments	May be. He may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance.

Medical Education and Training:

Dr Ivan Manuel Dequesada Ii attended and graduated from University Of Florida College Of Medicine in 2010

NPI Data:

NPI Number: 1780902593
Provider Enumeration Date: 05/04/2010
Last Update Date: 07/30/2025

Medicare PECOS Information:

PECOS PAC ID: 9739483108
Enrollment ID: I20160701000051

Medical Identifiers

Medical identifiers for Dr Ivan Manuel Dequesada Ii such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1780902593	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
2085R0202X	Radiology - Diagnostic Radiology	004915 (Georgia)	Secondary
2085R0202X	Radiology - Diagnostic Radiology	Q7548 (Texas)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Methodist Dallas Medical Center	Dallas, TX	Hospital
Methodist Charlton Medical Center	Dallas, TX	Hospital
Christus Mother Frances Hospital	Tyler, TX	Hospital
Christus St Michael Health System	Texarkana, TX	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Crawford Andrews And Davis Ptr	6507814084	39
Radiology Associates Of North Texas Pa	7911897301	325
Radiology Associates Of North Texas Pa	7911897301	325
Radiology Associates Of North Texas Pa	7911897301	325
Ochsner Clinic Llc	8224933619	2538

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 Ivan Manuel Dequesada Ii allows following entities to bill medicare on his behalf.

Entity Name	Radiology Associates Of North Texas Pa
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1053470179 PECOS PAC ID: 7911897301 Enrollment ID: O20040617000531

Entity Name	Crawford Andrews & Davis Ptr
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1952325573 PECOS PAC ID: 6507814084 Enrollment ID: O20050111000836

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 Ivan Manuel Dequesada Ii 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 Ivan Manuel Dequesada Ii, MD 816 W Cannon St, Fort Worth, TX 76104-3146 Ph: (817) 321-0937	Dr Ivan Manuel Dequesada Ii, MD 815 Pennsylvania Ave, Fort Worth, TX 76104-2224 Ph: (817) 321-0300

Reviews and Comments

Radiology Doctors in Fort Worth, TX

Kelly C Starkey, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 815 Pennsylvania Ave, Fort Worth, TX 76104 Phone: 817-321-0404 Fax: 469-522-6889
Dr. Mark Sohner, M.D. Radiology Medicare: May Accept Medicare Assignments Practice Location: 815 Pennsylvania Ave, Fort Worth, TX 76104 Phone: 173-210-4048
Dr. John A Queralt, MD Radiology Medicare: May Accept Medicare Assignments Practice Location: 815 Pennsylvania Ave, Fort Worth, TX 76104 Phone: 817-321-0312 Fax: 817-317-7033
Dr. Robert Joseph Reeb Jr., MD Radiology Medicare: May Accept Medicare Assignments Practice Location: 815 Pennsylvania Ave, Fort Worth, TX 76104 Phone: 817-321-0312 Fax: 817-317-7033
Eugenia Payne, M.D Radiology Medicare: Medicare Enrolled Practice Location: 815 Pennsylvania Ave, Fort Worth, TX 76104 Phone: 817-321-0404
Dr. Jeffrey Scott Wenzel, M.D. Radiology Medicare: May Accept Medicare Assignments Practice Location: 815 Pennsylvania Ave, Fort Worth, TX 76104 Phone: 817-321-0387
Dr. Robert Lewis Emery, M.D. Radiology Medicare: May Accept Medicare Assignments Practice Location: 815 Pennsylvania Ave, Fort Worth, TX 76104 Phone: 817-321-0404

Dr Ivan Manuel Dequesada Ii, MD - Medicare Diagnostic Radiology in Fort Worth, TX