Dr Jason M Jack, MD in Birmingham, AL - Medicare Plastic Surgery

Dr Jason M Jack, MD is a medicare enrolled "Plastic Surgery" physician in Birmingham, Alabama. His current practice location is 2000 Stonegate Trl, Suite 100, Birmingham, Alabama. You can reach out to his office (for appointments etc.) via phone at (205) 298-8660.

Dr Jason M Jack is licensed to practice in Alabama (license number 00026747) 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 1518910892.

Contact Information

	Dr Jason M Jack, MD
	2000 Stonegate Trl, Suite 100, Birmingham, AL 35242-2246
	(205) 298-8660
	(205) 298-8664

Physician's Profile

Full Name	Dr Jason M Jack
Gender	Male
Speciality	Plastic Surgery
Location	2000 Stonegate Trl, Birmingham, Alabama
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1518910892
Provider Enumeration Date: 05/18/2006
Last Update Date: 10/20/2011

Medicare PECOS Information:

PECOS PAC ID: 0749185874
Enrollment ID: I20060628000346

Medical Identifiers

Medical identifiers for Dr Jason M Jack such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1518910892	NPI	-	NPPES
51591946	Other	AL	BCBS OF AL
51040131	Other	AL	BCBS OF AL
51591941	Other	AL	BCBS OF AL
51591942	Other	AL	BCBS OF AL

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208200000X	Plastic Surgery	00026747 (Alabama)	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 Jason M Jack allows following entities to bill medicare on his behalf.

Entity Name	Plastic Surgery Specialists
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1245325307 PECOS PAC ID: 9739196601 Enrollment ID: O20060317000197

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 Jason M Jack 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 Address	Practice Location Address
Dr Jason M Jack, MD 2000 Stonegate Trl, Suite 100, Birmingham, AL 35242-2246 Ph: (205) 298-8660	Dr Jason M Jack, MD 2000 Stonegate Trl, Suite 100, Birmingham, AL 35242-2246 Ph: (205) 298-8660

Plastic Surgery Doctors in Birmingham, AL

Kamil Marcin Pietrasik, MD Plastic Surgery Medicare: Not Enrolled in Medicare Practice Location: 619 19th St S, Birmingham, AL 35249 Phone: 205-731-9701
Dr. Maryam Saheb-al-zamani, MD Plastic Surgery Medicare: Not Enrolled in Medicare Practice Location: 510 20th St South, Birmingham, AL 35294 Phone: 205-934-2307
Dr. Christopher Jon Schaffer, M.D. Plastic Surgery Medicare: Medicare Enrolled Practice Location: 140 Village St Ste 100, Birmingham, AL 35242 Phone: 205-980-1744 Fax: 205-980-1334
Dr. Michael S Clinton, MD Plastic Surgery Medicare: Not Enrolled in Medicare Practice Location: 7191 Cahaba Valley Rd, Ste 200, Birmingham, AL 35242 Phone: 205-408-9787 Fax: 205-408-3993
James Stephen Gunn, M.D. Plastic Surgery Medicare: Accepting Medicare Assignments Practice Location: 140 Village St Ste 100, Birmingham, AL 35242 Phone: 205-980-1744 Fax: 205-980-1334
Guillermo Oswaldo Ramos-gallardo, MD Plastic Surgery Medicare: Not Enrolled in Medicare Practice Location: 619 19th St S, Birmingham, AL 35249 Phone: 205-731-9701 Fax: 205-297-9411
Dr. William B Nickell, M,D. Plastic Surgery Medicare: Not Enrolled in Medicare Practice Location: 500 Cahaba Park Cir, Birmingham, AL 35242 Phone: 295-980-9393 Fax: 205-980-4494

Dr Jason M Jack, MD - Medicare Plastic Surgery in Birmingham, AL