Dr Jack Edison Cribb, DO is a medicare enrolled "Internal Medicine" physician in Charlotte, Michigan. He went to Michigan State University College Of Osteopathic Medicine 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 Sams Physical Therapy Pc and his current practice location is
3618 Benton Rd, Charlotte, Michigan. You can reach out to his office (for appointments etc.) via phone at
(517) 652-1059.
Dr Jack Edison Cribb is licensed to practice in Michigan (license number 1769156) 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 1497961635.
Physician's Profile
| Full Name | Dr Jack Edison Cribb |
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| Gender | Male |
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| Speciality | Internal Medicine |
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| Experience | 18 Years |
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| Location | 3618 Benton Rd, Charlotte, Michigan |
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| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Dr Jack Edison Cribb attended and graduated from Michigan State University College Of Osteopathic Medicine in 2006
NPI Data:
- NPI Number: 1497961635
- Provider Enumeration Date: 05/15/2007
- Last Update Date: 07/08/2007
Medicare PECOS Information:
- PECOS PAC ID: 2961565965
- Enrollment ID: I20090119000074
Medical Identifiers
Medical identifiers for Dr Jack Edison Cribb such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1497961635 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207R00000X | Internal Medicine | 1769156 (Michigan) | Primary |
Medical Facilities Affiliation
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 Edison Cribb allows following entities to bill medicare on his behalf.
| Entity Name | Adult Internal Medicine And Family Care, Plc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1174759989
PECOS PAC ID: 7416009329
Enrollment ID: O20090723000110 |
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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 Edison Cribb 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 |
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Dr Jack Edison Cribb, DO
3618 Benton Rd,
Charlotte, MI 48813-7756
Ph: (517) 652-1059 | Dr Jack Edison Cribb, DO
3618 Benton Rd,
Charlotte, MI 48813-7756
Ph: (517) 652-1059 |
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