Stephan Allan Shivvers, MD is a medicare enrolled "Medical Genetics - Clinical Genetics (m.d.)" 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) 645-0624.
Stephan Allan Shivvers is licensed to practice in Texas (license number K1676) 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 1659338069.
Physician's Profile
| Full Name | Stephan Allan Shivvers |
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| Gender | Male |
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| Speciality | Medical Genetics - Clinical Genetics (m.d.) |
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| Location | 5323 Harry Hines Blvd, Dallas, Texas |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1659338069
- Provider Enumeration Date: 04/28/2006
- Last Update Date: 09/11/2025
Medicare PECOS Information:
- PECOS PAC ID: 6204868045
- Enrollment ID: I20050901000277
Medical Identifiers
Medical identifiers for Stephan Allan Shivvers such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1659338069 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207V00000X | Obstetrics & Gynecology | K1676 (Texas) | Secondary |
| 207SG0201X | Medical Genetics - Clinical Genetics (m.d.) | K1676 (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. Stephan Allan Shivvers allows following entities to bill medicare on his behalf.
| Entity Name | University Of Texas Southwestern Medical Center At Dallas |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1942270566
PECOS PAC ID: 0648188250
Enrollment ID: O20031106000792 |
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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. Stephan Allan Shivvers 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 |
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Stephan Allan Shivvers, MD
Po Box 845347,
Dallas, TX 75284-5347
Ph: (214) 645-0624 | Stephan Allan Shivvers, MD
5323 Harry Hines Blvd,
Dallas, TX 75390-7208
Ph: (214) 645-0624 |
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