Mr Dan G Severa, MD is a medicare enrolled "Family Medicine" physician in Johnson City, Texas. His current practice location is
208 Haley Rd, Johnson City, Texas. You can reach out to his office (for appointments etc.) via phone at
(830) 868-9500.
Mr Dan G Severa is licensed to practice in Texas (license number S6935) 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 1750319323.
Physician's Profile
| Full Name | Mr Dan G Severa |
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| Gender | Male |
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| Speciality | Family Medicine |
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| Location | 208 Haley Rd, Johnson City, 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: 1750319323
- Provider Enumeration Date: 06/30/2006
- Last Update Date: 07/08/2025
Medicare PECOS Information:
- PECOS PAC ID: 8527966902
- Enrollment ID: I20050524001041
Medical Identifiers
Medical identifiers for Mr Dan G Severa such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1750319323 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 207Q00000X | Family Medicine | 0425270 (Kansas) | Secondary |
| 207Q00000X | Family Medicine | S6935 (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. Mr Dan G Severa allows following entities to bill medicare on his behalf.
| Entity Name | Shawnee Mission Medical Center Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1992735690 PECOS PAC ID: 9537119037 Enrollment ID: O20050701000310 |
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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. Mr Dan G Severa 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 |
Mr Dan G Severa, MD Po Box 844658, Dallas, TX 75284-4658 Ph: (254) 724-2111 | Mr Dan G Severa, MD 208 Haley Rd, Johnson City, TX 78636-4617 Ph: (830) 868-9500 |
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