Dr Jason M Jack, MD | |
2000 Stonegate Trl, Suite 100, Birmingham, AL 35242-2246 | |
(205) 298-8660 | |
(205) 298-8664 |
Full Name | Dr Jason M Jack |
---|---|
Gender | Male |
Speciality | Plastic Surgery |
Location | 2000 Stonegate Trl, Birmingham, Alabama |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1518910892 | NPI | - | NPPES |
51591946 | Other | AL | BCBS OF AL |
51040131 | Other | AL | BCBS OF AL |
51591941 | Other | AL | BCBS OF AL |
51591942 | Other | AL | BCBS OF AL |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208200000X | Plastic Surgery | 00026747 (Alabama) | Primary |
Entity Name | Plastic Surgery Specialists |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1245325307 PECOS PAC ID: 9739196601 Enrollment ID: O20060317000197 |
Mailing Address | Practice Location Address |
---|---|
Dr Jason M Jack, MD 2000 Stonegate Trl, Suite 100, Birmingham, AL 35242-2246 Ph: (205) 298-8660 | Dr Jason M Jack, MD 2000 Stonegate Trl, Suite 100, Birmingham, AL 35242-2246 Ph: (205) 298-8660 |
Kamil Marcin Pietrasik, MD Plastic Surgery Medicare: Not Enrolled in Medicare Practice Location: 619 19th St S, Birmingham, AL 35249 Phone: 205-731-9701 | |
Dr. Christopher Jon Schaffer, M.D. Plastic Surgery Medicare: Medicare Enrolled Practice Location: 140 Village St Ste 100, Birmingham, AL 35242 Phone: 205-980-1744 Fax: 205-980-1334 | |
Dr. Michael S Clinton, MD Plastic Surgery Medicare: Not Enrolled in Medicare Practice Location: 7191 Cahaba Valley Rd, Ste 200, Birmingham, AL 35242 Phone: 205-408-9787 Fax: 205-408-3993 | |
James Stephen Gunn, M.D. Plastic Surgery Medicare: Accepting Medicare Assignments Practice Location: 140 Village St Ste 100, Birmingham, AL 35242 Phone: 205-980-1744 Fax: 205-980-1334 | |
Guillermo Oswaldo Ramos-gallardo, MD Plastic Surgery Medicare: Not Enrolled in Medicare Practice Location: 619 19th St S, Birmingham, AL 35249 Phone: 205-731-9701 Fax: 205-297-9411 | |
Dr. William B Nickell, M,D. Plastic Surgery Medicare: Not Enrolled in Medicare Practice Location: 500 Cahaba Park Cir, Birmingham, AL 35242 Phone: 295-980-9393 Fax: 205-980-4494 | |
Rene Myers, Plastic Surgery Medicare: Accepting Medicare Assignments Practice Location: 1717 6th Ave S, Birmingham, AL 35233 Phone: 800-822-8816 |