Cecil Jordan Staples, MD in Temple, TX - Medicare Dermatology

Cecil Jordan Staples, MD is a medicare enrolled "Dermatology" physician in Temple, Texas. His current practice location is 2401 S 31st St, Temple, Texas. You can reach out to his office (for appointments etc.) via phone at (254) 724-2111.

Cecil Jordan Staples is licensed to practice in Texas (license number BP20074852) 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 1184246019.

Contact Information

	Cecil Jordan Staples, MD
	2401 S 31st St, Temple, TX 76508-1918
	(254) 724-2111
	Not Available

Physician's Profile

Full Name	Cecil Jordan Staples
Gender	Male
Speciality	Dermatology
Location	2401 S 31st St, Temple, Texas
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1184246019
Provider Enumeration Date: 05/14/2020
Last Update Date: 05/18/2021

Medicare PECOS Information:

PECOS PAC ID: 9436558798
Enrollment ID: I20210519001311

Medical Identifiers

Medical identifiers for Cecil Jordan Staples such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1184246019	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207N00000X	Dermatology	BP10070672 (Texas)	Secondary
207R00000X	Internal Medicine	BP10070672 (Texas)	Secondary
207N00000X	Dermatology	BP20074852 (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. Cecil Jordan Staples 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
Cecil Jordan Staples, MD 2401 S 31st St, Temple, TX 76508-0001 Ph: (254) 724-2111	Cecil Jordan Staples, MD 2401 S 31st St, Temple, TX 76508-1918 Ph: (254) 724-2111

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Dermatology Doctors in Temple, TX

Dr. Mark Grogan Tusa, MD Dermatology Medicare: Accepting Medicare Assignments Practice Location: 409 W Adams Ave, Temple, TX 76501 Phone: 254-742-3775
Dr. David Ford Butler, M.D. Dermatology Medicare: Not Enrolled in Medicare Practice Location: 409 W Adams Ave, Temple, TX 76501 Phone: 254-742-3775
Natalie Brittan Lane, MD Dermatology Medicare: Accepting Medicare Assignments Practice Location: 2401 S 31st St, Temple, TX 76508 Phone: 254-724-2111
Katelen Korty, Dermatology Medicare: Accepting Medicare Assignments Practice Location: 2401 S 31st St, Temple, TX 76508 Phone: 254-724-2111
Saadeddine S Saad, MD Dermatology Medicare: Accepting Medicare Assignments Practice Location: 2401 S 31st St # Ms 01161b, Temple, TX 76508 Phone: 254-724-8797
Dr. Betsy J. Furukawa, MD Dermatology Medicare: Accepting Medicare Assignments Practice Location: 2401 S 31st St, Temple, TX 76508 Phone: 254-724-2111

Cecil Jordan Staples, MD - Medicare Dermatology in Temple, TX