David Jacks, MD in Pine Bluff, AR

David Jacks, MD is a medicare enrolled "Urology" physician in Pine Bluff, Arkansas. He went to University Of Arkansas College Of Medicine and graduated in 1976 and has 48 years of diverse experience with area of expertise as Urology. He is a member of the group practice Central Arkansas Radiation Therapy Institute Inc and his current practice location is 4303 S Mulberry St, Pine Bluff, Arkansas. You can reach out to his office (for appointments etc.) via phone at (870) 535-4221.

David Jacks is licensed to practice in Arkansas (license number C5066) 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 1093735110.

Contact Information

	David Jacks, MD
	4303 S Mulberry St, Pine Bluff, AR 71603-7017
	(870) 535-4221
	(870) 535-4228

Map and Direction

Physician's Profile

Full Name	David Jacks
Gender	Male
Speciality	Urology
Experience	48 Years
Location	4303 S Mulberry St, Pine Bluff, Arkansas
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:

David Jacks attended and graduated from University Of Arkansas College Of Medicine in 1976

NPI Data:

NPI Number: 1093735110
Provider Enumeration Date: 07/20/2006
Last Update Date: 04/05/2022

Medicare PECOS Information:

PECOS PAC ID: 3779548599
Enrollment ID: I20041122000314

Medical Identifiers

Medical identifiers for David Jacks such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1093735110	NPI	-	NPPES
10493001	Medicaid	AR

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208800000X	Urology	C5066 (Arkansas)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Jefferson Regional Medical Center	Pine bluff, AR	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Central Arkansas Radiation Therapy Institute Inc	7810068400	79

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. David Jacks allows following entities to bill medicare on his behalf.

Entity Name	Central Arkansas Radiation Therapy Institute Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1508147810 PECOS PAC ID: 7810068400 Enrollment ID: O20111019000931

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. David Jacks 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
David Jacks, MD 4303 S Mulberry St, Pine Bluff, AR 71603-7017 Ph: (870) 535-4221	David Jacks, MD 4303 S Mulberry St, Pine Bluff, AR 71603-7017 Ph: (870) 535-4221

Reviews and Comments

Urology Doctors in Pine Bluff, AR

Dr. Dennis W Jacks, M.D. Urology Medicare: Not Enrolled in Medicare Practice Location: 1609 W 40th Ave, Ste 301, Pine Bluff, AR 71603 Phone: 870-536-5162 Fax: 870-536-5198
Dr. David A Lupo, M.D. Urology Medicare: Not Enrolled in Medicare Practice Location: 1609 W 40th Ave, Ste 301, Pine Bluff, AR 71603 Phone: 870-536-5162 Fax: 870-536-5198
Jordan Hanberry, MD Urology Medicare: Medicare Enrolled Practice Location: 1601 W 40th Ave Ste 301c, Pine Bluff, AR 71603 Phone: 870-541-6060 Fax: 870-541-6061
Nathan Green, MD Urology Medicare: Medicare Enrolled Practice Location: 1601 W 40th Ave Ste 301c, Pine Bluff, AR 71603 Phone: 870-541-6060 Fax: 870-541-6061
Dr. Robert Teryl Brooks Jr., M.D. Urology Medicare: Not Enrolled in Medicare Practice Location: 4611 Stevens Dr, Pine Bluff, AR 71603 Phone: 870-536-3266

David Jacks, MD - Medicare Urology in Pine Bluff, AR