Theodore E Hackl, - Medicare Ophthalmology in San Angelo, TX

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Theodore E Hackl, is a medicare enrolled "Ophthalmology" physician in San Angelo, Texas. He went to Texas Tech University Health Science Center School Of Medicine and graduated in 2008 and has 18 years of diverse experience with area of expertise as Ophthalmology. He is a member of the group practice Shannon Clinic and his current practice location is 3605 Executive Dr, San Angelo, Texas. You can reach out to his office (for appointments etc.) via phone at (325) 949-9555.

Theodore E Hackl is licensed to practice in Texas (license number P2662) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1881857662.

Contact Information

Theodore E Hackl,
3605 Executive Dr,
San Angelo, TX 76904-6884
(325) 949-9555
Not Available

Map and Direction




Physician's Profile

Full NameTheodore E Hackl
GenderMale
SpecialityOphthalmology
Experience18 Years
Location3605 Executive Dr, San Angelo, Texas
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Theodore E Hackl attended and graduated from Texas Tech University Health Science Center School Of Medicine in 2008
  NPI Data:
  • NPI Number: 1881857662
  • Provider Enumeration Date: 07/02/2008
  • Last Update Date: 06/09/2014
  Medicare PECOS Information:
  • PECOS PAC ID: 9830354596
  • Enrollment ID: I20120702000114

Medical Identifiers

Medical identifiers for Theodore E Hackl such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1881857662NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207W00000XOphthalmology P2662 (Texas)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Shannon Medical CenterSan angelo, TXHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Shannon Clinic0840103727465

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. Theodore E Hackl allows following entities to bill medicare on his behalf.
Entity NameShannon Clinic
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1770587149
PECOS PAC ID: 0840103727
Enrollment ID: O20031222000702
Entity NameHealth And Human Services Commission
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1356414692
PECOS PAC ID: 2163795824
Enrollment ID: O20170908001058
Entity NameRemote Telehealth Services, Pa
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1760077747
PECOS PAC ID: 9032514468
Enrollment ID: O20220131002438

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. Theodore E Hackl 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 AddressPractice Location Address
Theodore E Hackl,
3555 Knickerbocker Rd,
San Angelo, TX 76904-7610

Ph: (325) 949-9555		Theodore E Hackl,
3605 Executive Dr,
San Angelo, TX 76904-6884

Ph: (325) 949-9555

Reviews and Comments


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Shun H Lui, MD
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Kenton H Fish, MD
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Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

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