Dr Jerry Lamont Mckenzie, MD in Grand Prairie, TX

Dr Jerry Lamont Mckenzie, MD is a medicare enrolled "Family Medicine - Geriatric Medicine" physician in Grand Prairie, Texas. He went to University Of Arkansas College Of Medicine and graduated in 2012 and has 12 years of diverse experience with area of expertise as Family Practice. He is a member of the group practice Theresa D. Stretch Md, Pa and his current practice location is 845 Desco Ln, Grand Prairie, Texas. You can reach out to his office (for appointments etc.) via phone at (817) 761-7876.

Dr Jerry Lamont Mckenzie is licensed to practice in Texas (license number R4786) 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 1053679407.

Contact Information

	Dr Jerry Lamont Mckenzie, MD
	845 Desco Ln, Grand Prairie, TX 75051-1685
	(817) 761-7876
	(817) 635-6362

Map and Direction

Physician's Profile

Full Name	Dr Jerry Lamont Mckenzie
Gender	Male
Speciality	Family Practice
Experience	12 Years
Location	845 Desco Ln, Grand Prairie, 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:

Dr Jerry Lamont Mckenzie attended and graduated from University Of Arkansas College Of Medicine in 2012

NPI Data:

NPI Number: 1053679407
Provider Enumeration Date: 04/23/2012
Last Update Date: 05/11/2023

Medicare PECOS Information:

PECOS PAC ID: 0345565495
Enrollment ID: I20181005002456

Medical Identifiers

Medical identifiers for Dr Jerry Lamont Mckenzie such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1053679407	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207P00000X	Emergency Medicine	E-8969 (Arkansas)	Secondary
390200000X	Student In An Organized Health Care Education/training Program	(* (Not Available))	Secondary
207QG0300X	Family Medicine - Geriatric Medicine	R4786 (Texas)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Theresa D. Stretch Md, Pa	3476732496	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 Jerry Lamont Mckenzie allows following entities to bill medicare on his behalf.

Entity Name	Ikechukwu Osuji, M.d Pa
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1407994056 PECOS PAC ID: 6608775366 Enrollment ID: O20040102000174

Entity Name	Texas Specialty Physicians
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1558521179 PECOS PAC ID: 6305901927 Enrollment ID: O20090216000230

Entity Name	Theresa D. Stretch Md, Pa
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1154622678 PECOS PAC ID: 3476732496 Enrollment ID: O20110124000534

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 Jerry Lamont Mckenzie 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 Jerry Lamont Mckenzie, MD Po Box 1472, Mansfield, TX 76063-1472 Ph: () -	Dr Jerry Lamont Mckenzie, MD 845 Desco Ln, Grand Prairie, TX 75051-1685 Ph: (817) 761-7876

Reviews and Comments

Family Medicine Doctors in Grand Prairie, TX

Manisha Raja, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 801 Conover Dr, Grand Prairie, TX 75051 Phone: 214-266-3400
Wisam Nachawati, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 5224 S State Highway 360 Ste 230, Grand Prairie, TX 75052 Phone: 972-522-0691 Fax: 972-522-1053
Dr. Hsien-hui Grace Huang, D.O. Family Medicine Medicare: Medicare Enrolled Practice Location: 817 W Pioneer Pkwy Ste 190, Grand Prairie, TX 75051 Phone: 972-647-8282 Fax: 972-606-0202
Zachary Q. Botone, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2740 N. Hwy 360, Suite 100, Grand Prairie, TX 75050 Phone: 972-606-8300 Fax: 972-606-4940
Maria Graciela Zelaya Juergens, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 3095 Kingswood Blvd Ste 250, Grand Prairie, TX 75052 Phone: 972-817-1950
Donald Craig Whitcomb, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2461 Robinson Rd, Grand Prairie, TX 75051 Phone: 972-606-1334 Fax: 972-606-1637
Dr. Miranda Efua Wellington, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 4927 Lake Ridge Pkwy, Suite 100, Grand Prairie, TX 75052 Phone: 972-641-9000

Dr Jerry Lamont Mckenzie, MD - Medicare Family Practice in Grand Prairie, TX