Physician Services Of Jacksboro Pa - Medicare Primary Care in Jacksboro, TX

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Physician Services Of Jacksboro Pa is a medicare enrolled primary clinic (Internal Medicine) in Jacksboro, Texas. The current practice location for Physician Services Of Jacksboro Pa is 709 N 4th St, Jacksboro, Texas. For appointments, you can reach them via phone at (817) 565-0922. The mailing address for Physician Services Of Jacksboro Pa is Po Box 907, Frisco, Texas and phone number is (817) 565-0922.

Physician Services Of Jacksboro Pa is licensed to practice in Texas (license number J8000). The clinic also participates in the medicare program and its NPI number is 1457657371. This medical practice accepts medicare insurance (which means this clinic accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance). However, please confirm if they accept your insurance at (817) 565-0922.

Contact Information

Physician Services Of Jacksboro Pa
709 N 4th St
Jacksboro
TX 76458-1132
(817) 565-0922
Not Available

Map and Direction


Primary Care Clinic Profile

Full NamePhysician Services Of Jacksboro Pa
SpecialityInternal Medicine
Location709 N 4th St, Jacksboro, Texas
Authorized Official Name and PositionSyed Jamal (OWNER)
Authorized Official Contact8175650922
Accepts Medicare InsuranceYes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Physician Services Of Jacksboro Pa
Po Box 907
Frisco
TX 75034

Ph: (817) 565-0922		Physician Services Of Jacksboro Pa
709 N 4th St
Jacksboro
TX 76458-1132

Ph: (817) 565-0922

NPI Details:

NPI Number1457657371
Provider Enumeration Date02/10/2011
Last Update Date11/23/2011

Medicare PECOS Information:

Medicare PECOS PAC ID0345426383
Medicare Enrollment IDO20110509000807

Medical Identifiers

Medical identifiers for Physician Services Of Jacksboro Pa such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1457657371NPI-NPPES
0036XBOtherTXBCBS

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207R00000XInternal Medicine J8000 (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. Physician Services Of Jacksboro Pa acts as a billing entity for following providers:
Provider NamePatricia L Roberts
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1053382846
PECOS PAC ID: 6204808702
Enrollment ID: I20040806000138
Provider NameSyed M A Jamal
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1437157419
PECOS PAC ID: 8628007762
Enrollment ID: I20050809000248
Provider NameRalph A Brooks
Provider TypePractitioner - Dermatology
Provider IdentifiersNPI Number: 1467565762
PECOS PAC ID: 5698847952
Enrollment ID: I20080701000297
Provider NameWanda Villard
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1700180197
PECOS PAC ID: 3779763057
Enrollment ID: I20110920000899
Provider NameBeauford Basped
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1851431035
PECOS PAC ID: 7214187525
Enrollment ID: I20121023000304
Provider NameZaineb Shams
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1487905709
PECOS PAC ID: 5496905556
Enrollment ID: I20121025000612
Provider NameBenson Ongaya Shitote
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1740688530
PECOS PAC ID: 7315262953
Enrollment ID: I20150203000207
Provider NameShanda Ladawn Neve
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1972260263
PECOS PAC ID: 5597155457
Enrollment ID: I20211208001150
Provider NameDonna M Echols
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1770293185
PECOS PAC ID: 3375912173
Enrollment ID: I20221219001420
Provider NameIvy Jones
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1578145504
PECOS PAC ID: 8820337306
Enrollment ID: I20230504001106

Reviews and Comments


Internal Medicine in Jacksboro, TX

Jack County Hospital District
Primary Care Clinic
Medicare: Medicare Enrolled
Practice Location: 215 Chisholm Trl, Jacksboro, TX 76458
Phone: 940-567-6633    Fax: 940-567-2895
Robert Cooper, M.d., Pa
Primary Care Clinic
Medicare: Not Enrolled in Medicare
Practice Location: 215 Chisholm Trl, Jacksboro, TX 76458
Phone: 940-567-5528    
Global Family Practice, Pllc
Primary Care Clinic
Medicare: Medicare Enrolled
Practice Location: 215 Chisholm Trl, Jacksboro, TX 76458
Phone: 940-217-5969    
Lara Pierce, Md Pllc
Primary Care Clinic
Medicare: Medicare Enrolled
Practice Location: 217 W Belknap St, Jacksboro, TX 76458
Phone: 940-567-8114    Fax: 940-521-5511
Sushil B. Chokshi, M.d., P.a.
Primary Care Clinic
Medicare: Not Enrolled in Medicare
Practice Location: 217 W Belknap St, Jacksboro, TX 76458
Phone: 940-567-2101    Fax: 940-567-5522
Jack County Hospital District
Primary Care Clinic
Medicare: Medicare Enrolled
Practice Location: 215 Chisholm Trl, Jacksboro, TX 76458
Phone: 940-567-6633    Fax: 940-567-2895

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.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.