Alexander Robert Jack, MD in Ladera Ranch, CA

Alexander Robert Jack, MD is a medicare enrolled "Dermatology" physician in Ladera Ranch, California. He went to University Of Southern California Keck School Of Medicine and graduated in 2009 and has 15 years of diverse experience with area of expertise as Dermatology. He is a member of the group practice Elizabeth V Lener Md Inc and his current practice location is 600 Corporate Dr Ste 240, Ladera Ranch, California. You can reach out to his office (for appointments etc.) via phone at (949) 364-8411.

Alexander Robert Jack is licensed to practice in California (license number C179601) 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 1346482627.

Contact Information

	Alexander Robert Jack, MD
	600 Corporate Dr Ste 240, Ladera Ranch, CA 92694-2111
	(949) 364-8411
	Not Available

Map and Direction

Physician's Profile

Full Name	Alexander Robert Jack
Gender	Male
Speciality	Dermatology
Experience	15 Years
Location	600 Corporate Dr Ste 240, Ladera Ranch, California
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Alexander Robert Jack attended and graduated from University Of Southern California Keck School Of Medicine in 2009

NPI Data:

NPI Number: 1346482627
Provider Enumeration Date: 04/01/2009
Last Update Date: 12/22/2022

Medicare PECOS Information:

PECOS PAC ID: 1254584303
Enrollment ID: I20220907003559

Medical Identifiers

Medical identifiers for Alexander Robert Jack such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1346482627	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207N00000X	Dermatology	C179601 (California)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Elizabeth V Lener Md Inc	7618933516	4

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. Alexander Robert Jack allows following entities to bill medicare on his behalf.

Entity Name	Elizabeth V Lener Md Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1407989148 PECOS PAC ID: 7618933516 Enrollment ID: O20041202000500

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. Alexander Robert 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
Alexander Robert Jack, MD Po Box 5127, Everett, WA 98206-5127 Ph: (425) 258-3900	Alexander Robert Jack, MD 600 Corporate Dr Ste 240, Ladera Ranch, CA 92694-2111 Ph: (949) 364-8411

Reviews and Comments

Dermatology Doctors in Ladera Ranch, CA

Jyoti Pathria Mundi, M.D. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 600 Corporate Dr, Suite 240, Ladera Ranch, CA 92694 Phone: 949-364-8411 Fax: 949-364-8511
Jane G. Khoury, M.D. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 600 Corporate Dr, Suite 240, Ladera Ranch, CA 92694 Phone: 949-364-8411
Lucas G Bingham, M.D. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 600 Corporate Dr, Ste 100, Ladera Ranch, CA 92694 Phone: 949-388-8022 Fax: 949-388-8033
Dr. Elizabeth V Lener, M.D. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 600 Corporate Drive, Suite 240, Ladera Ranch, CA 92694 Phone: 949-364-8411 Fax: 949-364-8511
Stephanie Kelter Fogelson, MD Dermatology Medicare: Accepting Medicare Assignments Practice Location: 600 Corporate Dr, Suite #240, Ladera Ranch, CA 92694 Phone: 949-364-8411 Fax: 949-364-8511

Alexander Robert Jack, MD - Medicare Dermatology in Ladera Ranch, CA