Dr Jack Ce Ji, DO - Medicare Internal Medicine in Flagstaff, AZ

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Dr Jack Ce Ji, DO is a medicare enrolled "Hospitalist" physician in Flagstaff, Arizona. He went to Touro Un College Of Osteopathic Medicine, Vallejo and graduated in 2006 and has 18 years of diverse experience with area of expertise as Internal Medicine. He is a member of the group practice Kaiser Foundation Health Plan Of The Northwest and his current practice location is 1200 N Beaver St, Flagstaff, Arizona. You can reach out to his office (for appointments etc.) via phone at (928) 214-2920.

Dr Jack Ce Ji is licensed to practice in Arizona (license number 006341) 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 1730358789.

Contact Information

Dr Jack Ce Ji, DO
1200 N Beaver St,
Flagstaff, AZ 86001-3118
(928) 214-2920
(928) 214-2925

Map and Direction




Physician's Profile

Full NameDr Jack Ce Ji
GenderMale
SpecialityInternal Medicine
Experience18 Years
Location1200 N Beaver St, Flagstaff, Arizona
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Dr Jack Ce Ji attended and graduated from Touro Un College Of Osteopathic Medicine, Vallejo in 2006
  NPI Data:
  • NPI Number: 1730358789
  • Provider Enumeration Date: 02/25/2008
  • Last Update Date: 11/29/2022
  Medicare PECOS Information:
  • PECOS PAC ID: 2567590730
  • Enrollment ID: I20100507000759

Medical Identifiers

Medical identifiers for Dr Jack Ce Ji such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1730358789NPI-NPPES
903297MedicaidAZ

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207R00000XInternal Medicine DR.0067344 (Colorado)Secondary
208M00000XHospitalist 6341 (Arizona)Secondary
208M00000XHospitalist 006341 (Arizona)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Kaiser Foundation Health Plan Of The Northwest57996882301484

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 Ce Ji allows following entities to bill medicare on his behalf.
Entity NameKaiser Foundation Health Plan Of The Northwest
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1184786527
PECOS PAC ID: 5799688230
Enrollment ID: O20040130000799

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 Ce Ji 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 Jack Ce Ji, DO
1200 N Beaver St, Payer Credentialing,
Flagstaff, AZ 86001-3118

Ph: (928) 773-2559		Dr Jack Ce Ji, DO
1200 N Beaver St,
Flagstaff, AZ 86001-3118

Ph: (928) 214-2920

Reviews and Comments


Hospitalist Doctors in Flagstaff, AZ

Dr. Sanya Aysha Kayani, M.D.
Hospitalist
Medicare: Accepting Medicare Assignments
Practice Location: 1200 N Beaver St, Flagstaff, AZ 86001
Phone: 928-214-2920    Fax: 928-214-2925
Brandon Robert Thomas, DO
Hospitalist
Medicare: Medicare Enrolled
Practice Location: 1200 N Beaver St, Flagstaff, AZ 86001
Phone: 928-779-3366    
Dr. Christine Marie Kneisel, M.D.
Hospitalist
Medicare: Accepting Medicare Assignments
Practice Location: 1200 N Beaver St, Flagstaff, AZ 86001
Phone: 928-214-2920    Fax: 928-214-2925
Edward G Paul, MD
Hospitalist
Medicare: Accepting Medicare Assignments
Practice Location: 2920 N 4th St, Flagstaff, AZ 86004
Phone: 928-522-9400    Fax: 928-774-4808
Dr. Marian Lacy, M.D.
Hospitalist
Medicare: Accepting Medicare Assignments
Practice Location: 1200 N Beaver St, Flagstaff, AZ 86001
Phone: 928-213-6235    Fax: 928-213-6292
Audrey Lee,
Hospitalist
Medicare: Accepting Medicare Assignments
Practice Location: 1200 N Beaver St, Flagstaff, AZ 86001
Phone: 928-214-2920    Fax: 928-214-2925
Dr. Matthew Randolph, DO
Hospitalist
Medicare: Accepting Medicare Assignments
Practice Location: 1200 N Beaver St, Flagstaff, AZ 86001
Phone: 928-214-2920    

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).

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