Dr Jack Robert Mcdermott, DC, FNP-BC is a medicare enrolled "Nurse Practitioner" provider in Chillicothe, Ohio. He graduated from medical school in 2012 and has 12 years of diverse experience with area of expertise as Nurse Practitioner. He is a member of the group practice Adena Medical Group Llc and his current practice location is
4439 State Route 159 Ste 280, Chillicothe, Ohio. You can reach out to his office (for appointments etc.) via phone at
(740) 779-7050.
Dr Jack Robert Mcdermott is licensed to practice in Ohio (license number 14318) and he also participates in the medicare program. He
accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1588663033.
Healthcare Provider's Profile
| Full Name | Dr Jack Robert Mcdermott |
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| Gender | Male |
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| Speciality | Nurse Practitioner |
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| Experience | 12 Years |
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| Location | 4439 State Route 159 Ste 280, Chillicothe, Ohio |
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| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Dr Jack Robert Mcdermott graduated from medical school in 2012
NPI Data:
- NPI Number: 1588663033
- Provider Enumeration Date: 07/18/2005
- Last Update Date: 12/28/2020
Medicare PECOS Information:
- PECOS PAC ID: 3971537044
- Enrollment ID: I20130724000376
Medical Identifiers
Medical identifiers for Dr Jack Robert Mcdermott such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1588663033 | NPI | - | NPPES |
| COA.14318-NP | Other | OH | STATE OF OHIO LICENSE |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 111N00000X | Chiropractor | 3416 (Ohio) | Secondary |
| 111N00000X | Chiropractor | 4768 (Kentucky) | Secondary |
| 111N00000X | Chiropractor | 971 (West Virginia) | Secondary |
| 363L00000X | Nurse Practitioner | 14318 (Ohio) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Adena Medical Group Llc | 1153456579 | 329 |
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 Jack Robert Mcdermott allows following entities to bill medicare on his behalf.
| Provider Name | Adena Medical Group Llc |
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| Provider Type | Part B Supplier - Clinic/group Practice |
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| Provider Identifiers | NPI Number: 1235468083
PECOS PAC ID: 1153456579
Enrollment ID: O20100323001007 |
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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. Dr Jack Robert Mcdermott 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 |
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Dr Jack Robert Mcdermott, DC, FNP-BC
4439 State Route 159 Ste 280,
Chillicothe, OH 45601-7502
Ph: (740) 779-7050 | Dr Jack Robert Mcdermott, DC, FNP-BC
4439 State Route 159 Ste 280,
Chillicothe, OH 45601-7502
Ph: (740) 779-7050 |
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