Dr Jack T Sproul, MD is a medicare enrolled "Orthopaedic Surgery" physician in Galax, Virginia. His current practice location is
101 Doctors Park, Galax, Virginia. You can reach out to his office (for appointments etc.) via phone at
(276) 238-0990.
Dr Jack T Sproul is licensed to practice in Virginia (license number 0101254866) 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 1588644116.
Physician's Profile
| Full Name | Dr Jack T Sproul |
|---|
| Gender | Male |
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| Speciality | |
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| Experience | Years |
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| Location | 101 Doctors Park, Galax, Virginia |
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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 T Sproul attended and graduated from in
NPI Data:
- NPI Number: 1588644116
- Provider Enumeration Date: 01/19/2006
- Last Update Date: 09/29/2015
Medicare PECOS Information:
- PECOS PAC ID:
- Enrollment ID:
Medical Identifiers
Medical identifiers for Dr Jack T Sproul such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1588644116 | NPI | - | NPPES |
| 01243865 | Medicaid | NY | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 207X00000X | Orthopaedic Surgery | 185796 (New York) | Secondary |
| 207X00000X | Orthopaedic Surgery | 0101254866 (Virginia) | Primary |
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 T Sproul 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 T Sproul, MD
101 Doctors Park,
Galax, VA 24333-2277
Ph: (276) 238-0990 | Dr Jack T Sproul, MD
101 Doctors Park,
Galax, VA 24333-2277
Ph: (276) 238-0990 |
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