Dr Jack Pieniazek, DO - Medicare Family Medicine in Conroe, TX

Dr Jack Pieniazek, DO is a medicare enrolled "Family Medicine" physician in Conroe, Texas. His current practice location is 690 S Loop 336 W, Ste 222, Conroe, Texas. You can reach out to his office (for appointments etc.) via phone at (936) 756-6661.

Dr Jack Pieniazek is licensed to practice in Texas (license number K0541) 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 1164426870.

Contact Information

Dr Jack Pieniazek, DO
690 S Loop 336 W, Ste 222,
Conroe, TX 77304-3319
(936) 756-6661
(936) 756-6681



Physician's Profile

Full NameDr Jack Pieniazek
GenderMale
SpecialityFamily Medicine
Location690 S Loop 336 W, Conroe, Texas
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1164426870
  • Provider Enumeration Date: 06/09/2005
  • Last Update Date: 06/15/2021
  Medicare PECOS Information:
  • PECOS PAC ID: 7719975671
  • Enrollment ID: I20040802001568

Medical Identifiers

Medical identifiers for Dr Jack Pieniazek such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1164426870NPI-NPPES
043624803MedicaidTX

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine K0541 (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. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Dr Jack Pieniazek allows following entities to bill medicare on his behalf.
Entity NameKelsey-seybold Medical Group, Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1013915255
PECOS PAC ID: 9739093527
Enrollment ID: O20031117000204

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Entity NameCollege Park Medicine,pa
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1295815959
PECOS PAC ID: 7113964966
Enrollment ID: O20050413000255

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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. Dr Jack Pieniazek 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
Dr Jack Pieniazek, DO
11511 Shadow Creek Pkwy,
Pearland, TX 77584-7298

Ph: (713) 442-0000
Dr Jack Pieniazek, DO
690 S Loop 336 W, Ste 222,
Conroe, TX 77304-3319

Ph: (936) 756-6661

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› Verified 3 days ago


Family Medicine Doctors in Conroe, TX

Justin Grissom, D.O.
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 4015 I H 45 N Ste 100, Conroe, TX 77304
Phone: 936-270-4600    
Dr. Samantha Lorel Hinds-campa,
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 690 S Loop 336 W, Ste 222, Conroe, TX 77304
Phone: 936-756-6661    Fax: 936-756-6681
John Vernon Peet, MD
Family Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 4015 I 45 N, Conroe, TX 77304
Phone: 936-760-7864    
Dr. Jason Biscamp, M.D.
Family Medicine
Medicare: Medicare Enrolled
Practice Location: 690 S Loop 336 W, 3rd Floor, Conroe, TX 77304
Phone: 936-522-4000    Fax: 936-522-4022
Jody Ann Caldwell, MD
Family Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 2510 S Loop 336 W, Suite 135, Conroe, TX 77304
Phone: 936-441-8999    
Dr. Victoria M Adeleye, MD
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 508 Medical Center Blvd, Ste 200, Conroe, TX 77304
Phone: 936-760-4600    Fax: 936-760-4601
William Patrick Mcdonough, MD
Family Medicine
Medicare: Medicare Enrolled
Practice Location: 605 S Conroe Medical Dr, Conroe, TX 77304
Phone: 936-539-4004    Fax: 936-521-3964

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