Dr Jack Henry Short, MD in Chandler, AZ - Medicare Internal Medicine

Dr Jack Henry Short, MD is a medicare enrolled "Internal Medicine - Critical Care Medicine" physician in Chandler, Arizona. He went to University Of Missouri, Columbia School Of Medicine and graduated in 2013 and has 11 years of diverse experience with area of expertise as Internal Medicine. He is a member of the group practice Northern Arizona Healthcare Corporation, Sjhmc Physician Services and his current practice location is 1955 W Frye Rd, Chandler, Arizona. You can reach out to his office (for appointments etc.) via phone at (480) 728-3000.

Dr Jack Henry Short is licensed to practice in Arkansas (license number E-14930) 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 1346650942.

Contact Information

	Dr Jack Henry Short, MD
	1955 W Frye Rd, Chandler, AZ 85224-6282
	(480) 728-3000
	Not Available

Map and Direction

Physician's Profile

Full Name	Dr Jack Henry Short
Gender	Male
Speciality	Internal Medicine
Experience	11 Years
Location	1955 W Frye Rd, Chandler, Arizona
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:

Dr Jack Henry Short attended and graduated from University Of Missouri, Columbia School Of Medicine in 2013

NPI Data:

NPI Number: 1346650942
Provider Enumeration Date: 05/05/2014
Last Update Date: 07/25/2022

Medicare PECOS Information:

PECOS PAC ID: 2466671284
Enrollment ID: I20190705001225

Medical Identifiers

Medical identifiers for Dr Jack Henry Short such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1346650942	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207RC0200X	Internal Medicine - Critical Care Medicine	A147056 (California)	Secondary
207RC0200X	Internal Medicine - Critical Care Medicine	49876 (Arizona)	Secondary
207RC0200X	Internal Medicine - Critical Care Medicine	E-14930 (Arkansas)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Chandler Regional Medical Center	Chandler, AZ	Hospital
Mercy Gilbert Medical Center	Gilbert, AZ	Hospital
Flagstaff Medical Center	Flagstaff, AZ	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Northern Arizona Healthcare Corporation	3577473362	352
Sjhmc Physician Services	4486646197	547

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 Henry Short allows following entities to bill medicare on his behalf.

Entity Name	Sjhmc Physician Services
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1326098005 PECOS PAC ID: 4486646197 Enrollment ID: O20040401001189

Entity Name	St. Joseph's Hospital And Medical Center C/o Dignity Health
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1255382412 PECOS PAC ID: 6709863178 Enrollment ID: O20040702000601

Entity Name	Northern Arizona Healthcare Corporation
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1669914552 PECOS PAC ID: 3577473362 Enrollment ID: O20170801003409

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 Henry Short 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
Dr Jack Henry Short, MD 3030 N Central Ave Ste 1001, Phoenix, AZ 85012-2716 Ph: (602) 406-4786	Dr Jack Henry Short, MD 1955 W Frye Rd, Chandler, AZ 85224-6282 Ph: (480) 728-3000

Reviews and Comments

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Chuck Stephen Mangubat, MD Critical Care Medicine Medicare: Accepting Medicare Assignments Practice Location: 3115 S Price Rd, Chandler, AZ 85248 Phone: 480-926-0170 Fax: 480-452-0715

Dr Jack Henry Short, MD - Medicare Internal Medicine in Chandler, AZ