Genecov Plastic Surgery Group, Pa is a
Plastic Surgery - Plastic Surgery Within The Head And Neck based in Dallas, Texas. Genecov Plastic Surgery Group, Pa is licensed to practice in Texas (license number NA) and their current practice location is
7777 Forest Ln Ste C528, Dallas, Texas. It can be reached at their office (for appointments etc.) via phone at
(972) 331-1900.
NPI number for Genecov Plastic Surgery Group, Pa is 1164549887 and their current mailing address is 7777 Forest Ln Ste C528, Dallas, Texas. Genecov Plastic Surgery Group, Pa
does not participate in medicare program and thus does not accept medicare assignments. The facility's NPI Number is 1164549887.
Healthcare Provider's Profile
| Full Name | Genecov Plastic Surgery Group, Pa |
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| Type | Facility |
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| Speciality | Plastic Surgery - Plastic Surgery Within The Head And Neck |
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| Location | 7777 Forest Ln Ste C528, Dallas, Texas |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1164549887
- Provider Enumeration Date: 03/26/2007
- Last Update Date: 04/16/2021
Medical Identifiers
Medical identifiers for Genecov Plastic Surgery Group, Pa such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1164549887 | NPI | - | NPPES |
| 112848004 | Medicaid | TX | |
| TXB102342 | Other | | MEDICARE PTAN |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 235Z00000X | Speech-language Pathologist | 19138 (Texas) | Secondary |
| 2082S0099X | Plastic Surgery - Plastic Surgery Within The Head And Neck | NA (Texas) | Primary |
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. Genecov Plastic Surgery Group, Pa is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Genecov Plastic Surgery Group, Pa
7777 Forest Ln Ste C528,
Dallas, TX 75230-6848
Ph: (972) 331-1900 | Genecov Plastic Surgery Group, Pa
7777 Forest Ln Ste C528,
Dallas, TX 75230-6848
Ph: (972) 331-1900 |
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