Dr Larry Lee Jack, DDS - Medicare Dentist in Leadville, CO

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Dr Larry Lee Jack, DDS is a medicare enrolled "Dentist" provider in Leadville, Colorado. His current practice location is 404 E 7th St, Leadville, Colorado. You can reach out to his office (for appointments etc.) via phone at (410) 980-5433.

Dr Larry Lee Jack is licensed to practice in Colorado (license number 7752) 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 1386982247.

Contact Information

Dr Larry Lee Jack, DDS
404 E 7th St,
Leadville, CO 80461-3131
(410) 980-5433
Not Available

Map and Direction




Healthcare Provider's Profile

Full NameDr Larry Lee Jack
GenderMale
SpecialityDentist
Location404 E 7th St, Leadville, Colorado
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1386982247
  • Provider Enumeration Date: 01/27/2013
  • Last Update Date: 01/27/2013
  Medicare PECOS Information:
  • PECOS PAC ID: 0446552822
  • Enrollment ID: I20151230002400

Medical Identifiers

Medical identifiers for Dr Larry Lee Jack such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1386982247NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
122300000XDentist 7752 (Colorado)Primary
122300000XDentist 9327 (Maryland)Secondary

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 Larry Lee 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 AddressPractice Location Address
Dr Larry Lee Jack, DDS
Po Box 476,
Leadville, CO 80461-0476

Ph: () -		Dr Larry Lee Jack, DDS
404 E 7th St,
Leadville, CO 80461-3131

Ph: (410) 980-5433

Reviews and Comments


Dentist in Leadville, CO

Dr. Lance A Schamberger, D.D.S.
Dentist
Medicare: Not Enrolled in Medicare
Practice Location: 733 U.s. Hwy 24, Suite 200, Leadville, CO 80461
Phone: 719-486-2060    Fax: 719-486-9429
Dr. Christine C. Jones, D.D.S.
Dentist
Medicare: Not Enrolled in Medicare
Practice Location: 529 W 10th St, Leadville, CO 80461
Phone: 719-486-0053    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.