Dr Jack F David, DO - Medicare Emergency Medicine in Phoenix, AZ

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Dr Jack F David, DO is a medicare enrolled "Emergency Medicine" physician in Phoenix, Arizona. He went to Kansas City University Of Med & Biosciences, College Of Osteo Med and graduated in 1985 and has 39 years of diverse experience with area of expertise as Emergency Medicine. He is a member of the group practice Tec Emergency Physicians Of Arizona, Llc, Phoenix Physician Group Pllc and his current practice location is 5102 W Campbell Ave, Emergency Department, Phoenix, Arizona. You can reach out to his office (for appointments etc.) via phone at (602) 420-4430.

Dr Jack F David is licensed to practice in Arizona (license number 2994) 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 1164450961.

Contact Information

Dr Jack F David, DO
5102 W Campbell Ave, Emergency Department,
Phoenix, AZ 85031-1703
(602) 420-4430
Not Available

Map and Direction




Physician's Profile

Full NameDr Jack F David
GenderMale
SpecialityEmergency Medicine
Experience39 Years
Location5102 W Campbell Ave, Phoenix, 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 F David attended and graduated from Kansas City University Of Med & Biosciences, College Of Osteo Med in 1985
  NPI Data:
  • NPI Number: 1164450961
  • Provider Enumeration Date: 06/29/2006
  • Last Update Date: 07/26/2007
  Medicare PECOS Information:
  • PECOS PAC ID: 0345239042
  • Enrollment ID: I20040507001362

Medical Identifiers

Medical identifiers for Dr Jack F David such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1164450961NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207P00000XEmergency Medicine 2994 (Arizona)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Dignity Health Arizona General HospitalMesa, AZHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Tec Emergency Physicians Of Arizona, Llc6204256084116
Phoenix Physician Group Pllc983055646311

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 F David allows following entities to bill medicare on his behalf.
Entity NameEmergency Physicians Southwest Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1912053752
PECOS PAC ID: 2264538529
Enrollment ID: O20070502000382
Entity NameQuantum Healthcare Medical Associates Of Arizona Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1821391269
PECOS PAC ID: 5597946350
Enrollment ID: O20110228000065
Entity NameTec Emergency Physicians Of Arizona, Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1245772870
PECOS PAC ID: 6204256084
Enrollment ID: O20201016000157
Entity NameEast Valley Ep Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1659039618
PECOS PAC ID: 4880081785
Enrollment ID: O20220423000106
Entity NamePhoenix Physician Group Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1154898435
PECOS PAC ID: 9830556463
Enrollment ID: O20240226001151

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 F David 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 F David, DO
5102 W Campbell Ave, Emergency Department,
Phoenix, AZ 85031-1703

Ph: (602) 420-4430		Dr Jack F David, DO
5102 W Campbell Ave, Emergency Department,
Phoenix, AZ 85031-1703

Ph: (602) 420-4430

Reviews and Comments


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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.