Samuel T Haddock, MD in Fort Worth, TX - Medicare Emergency Medicine

Samuel T Haddock, MD is a medicare enrolled "Emergency Medicine - Pediatric Emergency Medicine" physician in Fort Worth, Texas. His current practice location is 801 7th Ave, Fort Worth, Texas. You can reach out to his office (for appointments etc.) via phone at (682) 885-4095.

Samuel T Haddock is licensed to practice in Texas (license number L0812) 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 1629171434.

Contact Information

	Samuel T Haddock, MD
	801 7th Ave, Fort Worth, TX 76104-2733
	(682) 885-4095
	(682) 885-7499

Map and Direction

Physician's Profile

Full Name	Samuel T Haddock
Gender	Male
Speciality	Emergency Medicine - Pediatric Emergency Medicine
Location	801 7th Ave, Fort Worth, Texas
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1629171434
Provider Enumeration Date: 09/07/2006
Last Update Date: 05/12/2011

Medicare PECOS Information:

PECOS PAC ID: 6800866328
Enrollment ID: I20040730000282

Medical Identifiers

Medical identifiers for Samuel T Haddock such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1629171434	NPI	-	NPPES
006041002	Medicaid	TX
124211	Other	TX	SUPERIOR PIN
2840117	Other	TX	CIGNA PIN
006041003	Medicaid	TX
5297726	Other	TX	AETNA PIN
00L42V	Other	TX	BCBSTX GRP PIN
137283103	Medicaid	TX
8H8785	Other	TX	BCBSTX IND PIN
138456101	Other	TX	FIRSTCARE PIN
1746111	Other	TX	FIRSTHEALTH PIN
1866576	Other	TX	UHC PIN
10032051	Other	TX	AMERIGROUP PIN
1669442042	Other		GRP NPI NUMBER
137345805	Medicaid	TX

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207PP0204X	Emergency Medicine - Pediatric Emergency Medicine	L0812 (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. Samuel T Haddock allows following entities to bill medicare on his behalf.

Entity Name	Questcare Medical Services Pllc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1912059247 PECOS PAC ID: 6204739402 Enrollment ID: O20040127000697

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. Samuel T Haddock 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
Samuel T Haddock, MD Po Box 99213, Fort Worth, TX 76199-0213 Ph: (682) 885-1855	Samuel T Haddock, MD 801 7th Ave, Fort Worth, TX 76104-2733 Ph: (682) 885-4095

Reviews and Comments

Emergency Medicine Doctors in Fort Worth, TX

Anna Burns Schroeder, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 6451 Brentwood Stair Rd, Suite 202, Fort Worth, TX 76112 Phone: 713-858-4684
Joey Mayor, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 1400 8th Ave, Fort Worth, TX 76104 Phone: 214-712-2074 Fax: 214-712-2444
Don Stewart Harper, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 6451 Brentwood Stair Rd, Suite 200, Fort Worth, TX 76112 Phone: 817-507-1770 Fax: 817-507-1771
Dr. Britton Michael Devillier, M.D., M.P.H. Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 801 7th Ave, Fort Worth, TX 76104 Phone: 682-885-4095 Fax: 682-885-7499
Lacey A Mcdaniel, PA-C Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 7001 Granbury Rd, Fort Worth, TX 76133 Phone: 817-346-1925 Fax: 817-292-7237
Dr. Rafael Andres Raya, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 3101 N Tarrant Pkwy, Fort Worth, TX 76177 Phone: 817-639-1000
Nathaniel Graham Lane, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 6451 Brentwood Stair Rd Ste 200, Fort Worth, TX 76112 Phone: 720-201-9397

Samuel T Haddock, MD - Medicare Emergency Medicine in Fort Worth, TX