Jacqueline S Taylor Odonald, MD in Texarkana, TX

Jacqueline S Taylor Odonald, MD is a medicare enrolled "Internal Medicine" physician in Texarkana, Texas. Her current practice location is 5002 Cowhorn Creek Rd, Texarkana, Texas. You can reach out to her office (for appointments etc.) via phone at (903) 614-3000.

Jacqueline S Taylor Odonald is licensed to practice in Texas (license number L3496) 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 1275514929.

Contact Information

	Jacqueline S Taylor Odonald, MD
	5002 Cowhorn Creek Rd, Texarkana, TX 75503-9766
	(903) 614-3000
	(903) 614-3525

Map and Direction

Physician's Profile

Full Name	Jacqueline S Taylor Odonald
Gender	Female
Speciality	Internal Medicine
Location	5002 Cowhorn Creek Rd, Texarkana, Texas
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1275514929
Provider Enumeration Date: 11/09/2005
Last Update Date: 11/01/2011

Medicare PECOS Information:

PECOS PAC ID: 2668442047
Enrollment ID: I20040731000242

Medical Identifiers

Medical identifiers for Jacqueline S Taylor Odonald such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1275514929	NPI	-	NPPES
5M000	Other	AR	BCBS
0092MN	Other	TX	BCBS
145436001	Medicaid	AR
145871301	Medicaid	TX
DD3261	Other	TX	RR MEDICARE

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207R00000X	Internal Medicine	L3496 (Texas)	Primary
207R00000X	Internal Medicine	E2888 (Arkansas)	Secondary

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 S Taylor Odonald allows following entities to bill medicare on her behalf.

Entity Name	Cogent Healthcare Of Texas Pa
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1992722953 PECOS PAC ID: 8628076924 Enrollment ID: O20061121000364

Entity Name	Hospitalist Medicine Physicians Of Texas - Texarkana, Pllc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1720623440 PECOS PAC ID: 9739516881 Enrollment ID: O20200302000606

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 S Taylor Odonald 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 S Taylor Odonald, MD 5002 Cowhorn Creek Rd, Texarkana, TX 75503-9766 Ph: (903) 614-3000	Jacqueline S Taylor Odonald, MD 5002 Cowhorn Creek Rd, Texarkana, TX 75503-9766 Ph: (903) 614-3000

Reviews and Comments

Internal Medicine Doctors in Texarkana, TX

Dr. Douglas Scott Black, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1002 Texas Blvd, Suite 401, Texarkana, TX 75501 Phone: 903-794-8820 Fax: 903-794-8878
Charles Chibundu Mbonu, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 2604 St. Michael Drive, Suite 310, Texarkana, TX 75503 Phone: 903-614-5001 Fax: 903-614-5077
Jonathan F Thomas, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 5002 Cowhorn Creek Rd, Texarkana, TX 75503 Phone: 903-614-3000 Fax: 903-614-3525
Mrs. Michelle R Dehan, RN, ACNP Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 1550 Moores Ln, Texarkana, TX 75503 Phone: 903-793-7378
Job Jacob, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 5002 Cowhorn Creek Rd, Texarkana, TX 75503 Phone: 903-614-3000 Fax: 903-614-3525
Jayendra D. Patel, M.D. Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 2600 Saint Michael Dr, Texarkana, TX 75503 Phone: 903-614-2111 Fax: 903-614-6913
Dr. Thomas Alston, MD Internal Medicine Medicare: Medicare Enrolled Practice Location: 1400 College Dr, Ste 202, Texarkana, TX 75503 Phone: 903-735-5330

Jacqueline S Taylor Odonald, MD - Medicare Internal Medicine in Texarkana, TX