Individual ProviderBrian JanssenAnesthesiologyAllopathic & Osteopathic PhysiciansPractice Address12222 Merit Dr Ste 600, Dallas, TX 75251-3294(972) 715-5000(972) 233-1999PECOS EnrollmentBased on the most recent information from CMS, provider Brian Janssen is legally eligible to order and refer claims for DME and PMD services only.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentEnrolledPMDPower Mobility DeviceEnrolledCMS last updated its PECOS records 34 days ago.Profile DetailsProvider ID1184626145Provider TypeIndividualFull NameJanssen, BrianTitleDr.CredentialM.D.GenderMaleSole ProprietorNoEnumeration Date6/2/2005Last Updated6/21/2022Contact InformationPractice LocationPractice Address12222 Merit Dr Ste 600, Dallas, TX 75251-3294Phone(972) 715-5000Fax(972) 715-9976Mailing LocationMailing AddressPO Box 840853, Dallas, TX 75284-0853Phone(972) 233-1999Fax(972) 233-3666Provider TaxonomiesCodeDescriptionLicenseCode207L00000XPrimaryDescriptionAnesthesiologyAllopathic & Osteopathic PhysiciansLicenseJ7016TexasProvider IdentifiersIDDescriptionIssuerID110754209DescriptionMedicaidIssuerUnlistedTexasID110754205DescriptionMedicaidIssuerUnlistedTexasID110754207DescriptionMedicaidIssuerUnlistedTexasID8A1504DescriptionOtherIssuerBCBSTexasID110754204DescriptionMedicaidIssuerUnlistedTexasID8EH338DescriptionOtherIssuerBCBS TXTexasID110754206DescriptionMedicaidIssuerUnlistedTexasID110754208DescriptionMedicaidIssuerUnlistedTexasIDP00719367DescriptionOtherIssuerRAILROAD