JEFF L PUGACH MD - NPI 1871589978 - Urology in Fort Worth, TX

Q: What is Jeff Pugach's NPI number?

The NPI number for Jeff Pugach is 1871589978. It was assigned to this individual provider in the NPPES registry on September 23, 2005.

Q: What is Jeff Pugach's specialty?

The primary specialty registered for this NPI is Urology, specializing in Pediatric Urology, with taxonomy code 2088P0231X.

Q: When was this NPI record last updated?

The NPPES record for Jeff Pugach was last updated on April 13, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.

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About Jeff L Pugach Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JEFF L PUGACH MD (NPI 1871589978) is an individual pediatric urology provider in Fort Worth, Texas, licensed in Texas (L3077) and active in the NPI registry since September 2005. He is enrolled in Medicare PECOS and is a graduate of Rutgers R W Johnson Medical School (cam/new Bruns/pisc) (1991).

NPPES Registry Identity

NPI1871589978

Entity TypeIndividualMale

Primary Taxonomy2088P0231X

Provider Legal NameJEFF L PUGACHCredential: MD

Location Address750 8TH AVE FL 6Fort Worth, TX 76104-2515

Mailing AddressPo Box 733784Dallas, TX 75373-3784 · (682) 885-1855 · Fax (682) 885-1396

Phone(682) 303-0376

Fax(682) 303-0377

Sole ProprietorNo

Medical School CMSRutgers R W Johnson Medical School (cam/new Bruns/pisc)Graduated 1991

Enumeration DateSeptember 23, 2005

Last NPPES UpdateApril 13, 20213 updates tracked since enumeration

NPPES CertifiedApril 13, 2021

✔ NPI 1871589978 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyUrology · Pediatric UrologyAllopathic & Osteopathic Physicians

Taxonomy Code2088P0231X

License✔ Licensed in TX · L3077

Definition

Surgeons who can diagnose, treat, and manage children's urinary and genital problems. A pediatric urologist devotes a minimum of 50% of his or her practice to the urologic problems of infants, children, and adolescents. Pediatric urologists generally provide the following services: the evaluation and management of voiding disorders; vesicoureteral reflux, and urinary tract infections that require surgery; surgical reconstruction of the urinary tract (kidneys, ureters, and bladder) including genital abnormalities, hypospadias, and intersex conditions; surgery for groin conditions in childhood and adolescence (undescended testes, hydrocele/hernia, varicocele).

750 8TH AVE FL 6, Fort Worth, TX 76104

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Baylor Scott and White Health Plan.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Jeff L Pugach Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID7012800147

PECOS Enrollment IDI20040203001099

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 9

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. CORTNEY B WOLFE-CHRISTENSEN PHD

Psychologist (Clinical Child & Adolescent)