Jonathan Eric Wickiser, MD in Dallas, TX

Jonathan Eric Wickiser, MD is a medicare enrolled "Pediatrics - Pediatric Hematology-oncology" physician in Dallas, Texas. His current practice location is 5323 Harry Hines Blvd, Dallas, Texas. You can reach out to his office (for appointments etc.) via phone at (214) 730-5437.

Jonathan Eric Wickiser is licensed to practice in Texas (license number M4653) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1194740688.

Contact Information

	Jonathan Eric Wickiser, MD
	5323 Harry Hines Blvd, Dallas, TX 75390-7201
	(214) 730-5437
	Not Available

Map and Direction

Physician's Profile

Full Name	Jonathan Eric Wickiser
Gender	Male
Speciality	Pediatrics - Pediatric Hematology-oncology
Location	5323 Harry Hines Blvd, Dallas, Texas
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1194740688
Provider Enumeration Date: 07/13/2006
Last Update Date: 04/24/2012

Medicare PECOS Information:

PECOS PAC ID: 2769488014
Enrollment ID: I20061010000812

Medical Identifiers

Medical identifiers for Jonathan Eric Wickiser such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1194740688	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
2080P0207X	Pediatrics - Pediatric Hematology-oncology	M4653 (Texas)	Primary
208000000X	Pediatrics	M4653 (Texas)	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. Jonathan Eric Wickiser allows following entities to bill medicare on his behalf.

Entity Name	University Of Texas Southwestern Medical Center At Dallas
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1972579365 PECOS PAC ID: 0648188250 Enrollment ID: O20031106000792

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. Jonathan Eric Wickiser 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
Jonathan Eric Wickiser, MD Po Box 845347, Dallas, TX 75284-5347 Ph: (214) 730-5437	Jonathan Eric Wickiser, MD 5323 Harry Hines Blvd, Dallas, TX 75390-7201 Ph: (214) 730-5437

Reviews and Comments

Pediatrics Doctors in Dallas, TX

Dr. Jyothsna Gattineni, M.D. Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 5323 Harry Hines Blvd, Dallas, TX 75390 Phone: 214-648-3438
Ruth Osei Fordjour, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 12221 Merit Dr, Suite 1500, Dallas, TX 75251 Phone: 214-957-4754
Dr. Alecia Curlene Nero, M.D. Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 5323 Harry Hines Blvd, Dallas, TX 75390 Phone: 214-648-4180
Dr. Sravani Avula, M.D. Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 5323 Harry Hines Blvd, Dallas, TX 75390 Phone: 214-730-5437
Asif Zia Khattak, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 3500 Gaston Ave, Dallas, TX 75246 Phone: 214-820-7604
Sadia Malik, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 5323 Harry Hines Boulevard, Dallas, TX 75390 Phone: 214-456-2533 Fax: 214-456-8130
Sana Jamil Siddiqui, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 5323 Harry Hines Boulevard, Dallas, TX 75390 Phone: 214-456-0488 Fax: 214-456-4486

Jonathan Eric Wickiser, MD - Medicare Pediatrics in Dallas, TX