Jaclyn Lizette Hopper, MD is a medicare enrolled "Colon & Rectal Surgery" physician in San Antonio, Texas. Her current practice location is
4502 Medical Dr, San Antonio, Texas. You can reach out to her office (for appointments etc.) via phone at
(210) 358-8900.
Jaclyn Lizette Hopper is licensed to practice in Texas (license number V2346) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1508211848.
Physician's Profile
Full Name | Jaclyn Lizette Hopper |
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Gender | Female |
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Speciality | Colon & Rectal Surgery |
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Location | 4502 Medical Dr, San Antonio, Texas |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1508211848
- Provider Enumeration Date: 04/24/2016
- Last Update Date: 01/13/2025
Medicare PECOS Information:
- PECOS PAC ID: 9739470204
- Enrollment ID: I20240717002782
Medical Identifiers
Medical identifiers for Jaclyn Lizette Hopper such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1508211848 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
208600000X | Surgery | V2346 (Texas) | Secondary |
208C00000X | Colon & Rectal Surgery | V2346 (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. Jaclyn Lizette Hopper allows following entities to bill medicare on her behalf.
Entity Name | University Of Texas Health Science Center At San Antonio |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1720051717 PECOS PAC ID: 0042128548 Enrollment ID: O20040607000664 |
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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. Jaclyn Lizette Hopper 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 |
Jaclyn Lizette Hopper, MD 4502 Medical Dr, San Antonio, TX 78229-4402 Ph: (210) 358-8900 | Jaclyn Lizette Hopper, MD 4502 Medical Dr, San Antonio, TX 78229-4402 Ph: (210) 358-8900 |
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