Jacqueline Fontenot Butler, MD in Longview, TX

Jacqueline Fontenot Butler, MD is a medicare enrolled "Emergency Medicine" physician in Longview, Texas. Her current practice location is 2901 N Fourth St, Emergency Room, Longview, Texas. You can reach out to her office (for appointments etc.) via phone at (903) 758-1818.

Jacqueline Fontenot Butler is licensed to practice in Texas (license number Q2519) 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 1568728103.

Contact Information

	Jacqueline Fontenot Butler, MD
	2901 N Fourth St, Emergency Room, Longview, TX 75605
	(903) 758-1818
	Not Available

Map and Direction

Physician's Profile

Full Name	Jacqueline Fontenot Butler
Gender	Female
Speciality	Emergency Medicine
Location	2901 N Fourth St, Longview, Texas
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1568728103
Provider Enumeration Date: 04/09/2012
Last Update Date: 10/21/2019

Medicare PECOS Information:

PECOS PAC ID: 2062639800
Enrollment ID: I20150605000601

Medical Identifiers

Medical identifiers for Jacqueline Fontenot Butler such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1568728103	NPI	-	NPPES
2188453	Medicaid	LA

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207P00000X	Emergency Medicine	Q2519 (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. Jacqueline Fontenot Butler allows following entities to bill medicare on her behalf.

Entity Name	Acs Primary Care Physicians Southwest Pa
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1538101019 PECOS PAC ID: 1850204363 Enrollment ID: O20041206000027

Entity Name	Acute Care Specialists
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1740655273 PECOS PAC ID: 6800190364 Enrollment ID: O20160204000716

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. Jacqueline Fontenot Butler 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
Jacqueline Fontenot Butler, MD 2901 N Fourth St, Emergency Room, Longview, TX 75605 Ph: (903) 758-1818	Jacqueline Fontenot Butler, MD 2901 N Fourth St, Emergency Room, Longview, TX 75605 Ph: (903) 758-1818

Reviews and Comments

Emergency Medicine Doctors in Longview, TX

Jonathan J Kral, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 700 E Marshall Ave, Longview, TX 75601 Phone: 903-315-2000
Dr. Rhiana Dawn Ireland, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 2901 N 4th St, Emergency Department, Longview, TX 75605 Phone: 903-232-3675 Fax: 903-232-8542
Matthew Porter, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 700 E Marshall Ave, Longview, TX 75601 Phone: 903-315-2445 Fax: 903-315-5383
Stanley Upchurch, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 700 E Marshall Ave, Longview, TX 75601 Phone: 903-315-2000
Gene Kelly, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 2901 N 4th St, Longview, TX 75605 Phone: 903-232-3675
Faber A White, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 700 E Marshall Ave, Longview, TX 75601 Phone: 903-315-2000
Nicole Sneed, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 700 E Marshall Ave, Longview, TX 75601 Phone: 903-315-2020

Jacqueline Fontenot Butler, MD - Medicare Emergency Medicine in Longview, TX