Jeremiah Sisay, PHARMD, MD is a medicare enrolled "Internal Medicine" provider in Mesquite, Texas. He went to University Of Kansas School Of Med (kc/wich/sal) and graduated in 2014 and has 12 years of diverse experience with area of expertise as Internal Medicine. His current practice location is
2698 N Galloway Ave Ste 101, Mesquite, Texas. You can reach out to his office (for appointments etc.) via phone at
(972) 288-1662.
Jeremiah Sisay is licensed to practice in Texas (license number R1649) 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 1194098111.
Healthcare Provider's Profile
| Full Name | Jeremiah Sisay |
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| Gender | Male |
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| Speciality | Internal Medicine |
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| Experience | 12 Years |
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| Location | 2698 N Galloway Ave Ste 101, Mesquite, Texas |
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| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Medical Education and Training:
- Jeremiah Sisay attended and graduated from University Of Kansas School Of Med (kc/wich/sal) in 2014
NPI Data:
- NPI Number: 1194098111
- Provider Enumeration Date: 02/22/2012
- Last Update Date: 03/25/2019
Medicare PECOS Information:
- PECOS PAC ID: 4385943059
- Enrollment ID: I20170918003285
Medical Identifiers
Medical identifiers for Jeremiah Sisay such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1194098111 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 183500000X | Pharmacist | 1-13931 (Kansas) | Secondary |
| 207R00000X | Internal Medicine | R1649 (Texas) | Primary |
Medical Facilities Affiliation
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. Jeremiah Sisay allows following entities to bill medicare on his behalf.
| Entity Name | Apogee Medical Group Texas Pa |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1558318071 PECOS PAC ID: 9436151792 Enrollment ID: O20070215000533 |
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| Entity Name | Jeremiah Sisay Pharmd Md Pllc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1497217145 PECOS PAC ID: 1557695608 Enrollment ID: O20190625000583 |
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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. Jeremiah Sisay 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 |
Jeremiah Sisay, PHARMD, MD 2698 N Galloway Ave Ste 101, Mesquite, TX 75150-6384 Ph: (940) 442-5209 | Jeremiah Sisay, PHARMD, MD 2698 N Galloway Ave Ste 101, Mesquite, TX 75150 Ph: (972) 288-1662 |
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