Jeffrey Harbold Jr, DO - Medicare Dermatology in Tyler, TX

Jeffrey Harbold Jr, DO is a medicare enrolled "Dermatology" physician in Tyler, Texas. He graduated from medical school in 2015 and has 9 years of diverse experience with area of expertise as Dermatology. He is a member of the group practice Oliver Street 5.01(a) Inc and his current practice location is 1720 S Beckham Ave Ste 102, Tyler, Texas. You can reach out to his office (for appointments etc.) via phone at (903) 618-2125.

Jeffrey Harbold Jr is licensed to practice in Texas (license number R2868) 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 1700260197.

Contact Information

Jeffrey Harbold Jr, DO
1720 S Beckham Ave Ste 102,
Tyler, TX 75701-4437
(903) 618-2125
Not Available



Physician's Profile

Full NameJeffrey Harbold Jr
GenderMale
SpecialityDermatology
Experience9 Years
Location1720 S Beckham Ave Ste 102, Tyler, Texas
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Jeffrey Harbold Jr graduated from medical school in 2015
  NPI Data:
  • NPI Number: 1700260197
  • Provider Enumeration Date: 07/15/2015
  • Last Update Date: 08/01/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 4880901610
  • Enrollment ID: I20171009002527

Medical Identifiers

Medical identifiers for Jeffrey Harbold Jr such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1700260197NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207N00000XDermatology R2868 (Texas)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Oliver Street 5.01(a) Inc0042464125141

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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. Jeffrey Harbold Jr allows following entities to bill medicare on his behalf.
Entity NameOasis Dermatology Group, Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1619099124
PECOS PAC ID: 5890703508
Enrollment ID: O20060322000300

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Entity NameOliver Street 5.01(a) Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1457695413
PECOS PAC ID: 0042464125
Enrollment ID: O20130128000189

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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. Jeffrey Harbold Jr 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
Jeffrey Harbold Jr, DO
5310 Harvest Hill Rd Ste 290,
Dallas, TX 75230-5826

Ph: (214) 420-0650
Jeffrey Harbold Jr, DO
1720 S Beckham Ave Ste 102,
Tyler, TX 75701-4437

Ph: (903) 618-2125

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Dermatology Doctors in Tyler, TX

Shanna Burris Meads, MD
Dermatology
Medicare: Accepting Medicare Assignments
Practice Location: 1367 Dominion Plz, Tyler, TX 75703
Phone: 903-534-6200    
Stephen John Beck, MD
Dermatology
Medicare: Not Enrolled in Medicare
Practice Location: 1367 Dominion Plz, Tyler, TX 75703
Phone: 903-534-6200    Fax: 903-939-0755
Bradley Scott Graham, MD
Dermatology
Medicare: Accepting Medicare Assignments
Practice Location: 1367 Dominion Plaza, Tyler, TX 75703
Phone: 903-534-6200    
Alma Criseida Berlingeri Ramos, MD
Dermatology
Medicare: Accepting Medicare Assignments
Practice Location: 1367 Dominion Plz, Tyler, TX 75703
Phone: 903-534-6200    Fax: 903-939-0755
Elizabeth Stripling Morris, MD
Dermatology
Medicare: Accepting Medicare Assignments
Practice Location: 1367 Dominion Plaza, Tyler, TX 75703
Phone: 903-534-6200    
Lawrence Lazelle Anderson, MD
Dermatology
Medicare: Medicare Enrolled
Practice Location: 1367 Dominion Plaza, Tyler, TX 75703
Phone: 903-534-6200    
Thomas Lambert Jr., MD
Dermatology
Medicare: Accepting Medicare Assignments
Practice Location: 5791 Copeland Rd, Tyler, TX 75703
Phone: 903-509-2020    

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