Jonathan Eric Wickiser, MD - Medicare Pediatrics in Dallas, TX

Jonathan Eric Wickiser, MD is a medicare enrolled "Pediatrics - Pediatric Hematology-oncology" physician in Dallas, Texas. His current practice location is 5323 Harry Hines Blvd, Dallas, Texas. You can reach out to his office (for appointments etc.) via phone at (214) 730-5437.

Jonathan Eric Wickiser is licensed to practice in Texas (license number M4653) 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 1194740688.

Contact Information

Jonathan Eric Wickiser, MD
5323 Harry Hines Blvd,
Dallas, TX 75390-7201
(214) 730-5437
Not Available



Physician's Profile

Full NameJonathan Eric Wickiser
GenderMale
SpecialityPediatrics - Pediatric Hematology-oncology
Location5323 Harry Hines Blvd, Dallas, Texas
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1194740688
  • Provider Enumeration Date: 07/13/2006
  • Last Update Date: 04/24/2012
  Medicare PECOS Information:
  • PECOS PAC ID: 2769488014
  • Enrollment ID: I20061010000812

Medical Identifiers

Medical identifiers for Jonathan Eric Wickiser such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1194740688NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
2080P0207XPediatrics - Pediatric Hematology-oncology M4653 (Texas)Primary
208000000XPediatrics M4653 (Texas)Secondary

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. Jonathan Eric Wickiser allows following entities to bill medicare on his behalf.
Entity NameUniversity Of Texas Southwestern Medical Center At Dallas
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1972579365
PECOS PAC ID: 0648188250
Enrollment ID: O20031106000792

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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. Jonathan Eric Wickiser 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
Jonathan Eric Wickiser, MD
Po Box 845347,
Dallas, TX 75284-5347

Ph: (214) 730-5437
Jonathan Eric Wickiser, MD
5323 Harry Hines Blvd,
Dallas, TX 75390-7201

Ph: (214) 730-5437

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Pediatrics Doctors in Dallas, TX

Dr. Jyothsna Gattineni, M.D.
Pediatrics
Medicare: Accepting Medicare Assignments
Practice Location: 5323 Harry Hines Blvd, Dallas, TX 75390
Phone: 214-648-3438    
Ruth Osei Fordjour, M.D.
Pediatrics
Medicare: Medicare Enrolled
Practice Location: 12221 Merit Dr, Suite 1500, Dallas, TX 75251
Phone: 214-957-4754    
Dr. Alecia Curlene Nero, M.D.
Pediatrics
Medicare: Accepting Medicare Assignments
Practice Location: 5323 Harry Hines Blvd, Dallas, TX 75390
Phone: 214-648-4180    
Dr. Sravani Avula, M.D.
Pediatrics
Medicare: Accepting Medicare Assignments
Practice Location: 5323 Harry Hines Blvd, Dallas, TX 75390
Phone: 214-730-5437    
Asif Zia Khattak, MD
Pediatrics
Medicare: Not Enrolled in Medicare
Practice Location: 3500 Gaston Ave, Dallas, TX 75246
Phone: 214-820-7604    
Sadia Malik, MD
Pediatrics
Medicare: Medicare Enrolled
Practice Location: 5323 Harry Hines Boulevard, Dallas, TX 75390
Phone: 214-456-2533    Fax: 214-456-8130
Sana Jamil Siddiqui, M.D.
Pediatrics
Medicare: Medicare Enrolled
Practice Location: 5323 Harry Hines Boulevard, Dallas, TX 75390
Phone: 214-456-0488    Fax: 214-456-4486

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