Dr Jonathan Elliott Jack, DC is a medicare enrolled "Chiropractor" provider in Creekside, Pennsylvania. His current practice location is
2118 Kettering Rd, Creekside, Pennsylvania. You can reach out to his office (for appointments etc.) via phone at
(724) 397-9531.
Dr Jonathan Elliott Jack is licensed to practice in Pennsylvania (license number DC005990L) 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 1730114174.
Healthcare Provider's Profile
Full Name | Dr Jonathan Elliott Jack |
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Gender | Male |
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Speciality | Chiropractor |
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Location | 2118 Kettering Rd, Creekside, Pennsylvania |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1730114174
- Provider Enumeration Date: 07/12/2006
- Last Update Date: 07/08/2007
Medicare PECOS Information:
- PECOS PAC ID: 0143393363
- Enrollment ID: I20080722000315
Medical Identifiers
Medical identifiers for Dr Jonathan Elliott Jack such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1730114174 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
111N00000X | Chiropractor | DC005990L (Pennsylvania) | Primary |
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 Jonathan Elliott 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 Jonathan Elliott Jack, DC 2118 Kettering Rd, Creekside, PA 15732-9237 Ph: (724) 397-9531 | Dr Jonathan Elliott Jack, DC 2118 Kettering Rd, Creekside, PA 15732-9237 Ph: (724) 397-9531 |
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