Savannah Ann Jack, AUD is a medicare enrolled "Audiologist" provider in Denison, Texas. Her current practice location is
5012 Us-75 Suite 230, Denison, Texas. You can reach out to her office (for appointments etc.) via phone at
(469) 252-3510.
Savannah Ann Jack is licensed to practice in Texas (license number ) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1568006419.
Healthcare Provider's Profile
| Full Name | Savannah Ann Jack |
|---|
| Gender | Female |
|---|
| Speciality | Audiologist |
|---|
| Location | 5012 Us-75 Suite 230, Denison, Texas |
|---|
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
|---|
NPI Data:
- NPI Number: 1568006419
- Provider Enumeration Date: 11/04/2019
- Last Update Date: 05/31/2024
Medicare PECOS Information:
- PECOS PAC ID: 9234569088
- Enrollment ID: I20200420001625
Medical Identifiers
Medical identifiers for Savannah Ann Jack such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1568006419 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 231H00000X | Audiologist | (* (Not Available)) | Secondary |
| 231H00000X | Audiologist | (Texas) | 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. Savannah Ann Jack allows following entities to bill medicare on her behalf.
| Provider Name | Xyr Health Pllc |
|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
|---|
| Provider Identifiers | NPI Number: 1215611322
PECOS PAC ID: 9335503341
Enrollment ID: O20230908003451 |
|---|
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. Savannah Ann 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 |
|---|
Savannah Ann Jack, AUD
5012 Us-75 Suite 230,
Denison, TX 75020
Ph: (469) 252-3510 | Savannah Ann Jack, AUD
5012 Us-75 Suite 230,
Denison, TX 75020
Ph: (469) 252-3510 |
Reviews and Comments