Dr Kelvin Karibo Jack, MD - Medicare Obstetrics & Gynecology in Brooklyn, NY

Dr Kelvin Karibo Jack, MD is a medicare enrolled "Obstetrics & Gynecology - Gynecology" physician in Brooklyn, New York. His current practice location is 407 Rockaway Ave Fl 3, Brooklyn, New York. You can reach out to his office (for appointments etc.) via phone at (718) 644-0961.

Dr Kelvin Karibo Jack is licensed to practice in New York (license number 272090) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1659332708.

Contact Information

Dr Kelvin Karibo Jack, MD
407 Rockaway Ave Fl 3,
Brooklyn, NY 11212-5635
(718) 644-0961
Not Available

Map and Direction




Physician's Profile

Full NameDr Kelvin Karibo Jack
GenderMale
SpecialityObstetrics & Gynecology - Gynecology
Location407 Rockaway Ave Fl 3, Brooklyn, New York
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1659332708
  • Provider Enumeration Date: 03/29/2006
  • Last Update Date: 09/30/2019
  Medicare PECOS Information:
  • PECOS PAC ID: 0749473718
  • Enrollment ID: I20101022000196

Medical Identifiers

Medical identifiers for Dr Kelvin Karibo Jack such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1659332708NPI-NPPES
1316289853OtherNYNPI

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207VG0400XObstetrics & Gynecology - Gynecology 272090 (New York)Primary

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 Kelvin Karibo Jack allows following entities to bill medicare on his behalf.
Entity NameRani Medical Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1629474283
PECOS PAC ID: 7315339447
Enrollment ID: O20220121000524

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 Kelvin Karibo Jack 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 Kelvin Karibo Jack, MD
3225 Fenton Ave,
Bronx, NY 10469-2801

Ph: (718) 644-0961
Dr Kelvin Karibo Jack, MD
407 Rockaway Ave Fl 3,
Brooklyn, NY 11212-5635

Ph: (718) 644-0961

Reviews and Comments


Obstetrics & Gynecology Doctors in Brooklyn, NY

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Phone: 718-879-8877    Fax: 718-879-8866

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.