Jack C Avalos, MD is a
Radiology - Diagnostic Radiology physician based in Clinton, Iowa. Jack C Avalos is licensed to practice in Iowa (license number 29895) and his current practice location is 1410 N 4th St, Clinton, Iowa. He can be reached at his office (for appointments etc.) via phone at
(563) 244-5642.
NPI number for Jack C Avalos is 1689651655 and his current mailing address is Po Box 2660, Waterloo, Iowa. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1689651655.
Physician's Profile
Full Name | Jack C Avalos |
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Gender | Male |
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Speciality | Radiology - Diagnostic Radiology |
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Location | 1410 N 4th St, Clinton, Iowa |
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Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
NPI Data:
- NPI Number: 1689651655
- Provider Enumeration Date: 12/29/2005
- Last Update Date: 10/29/2010
Medical Identifiers
Medical identifiers for Jack C Avalos such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1689651655 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
2085R0202X | Radiology - Diagnostic Radiology | 29895 (Iowa) | 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. Jack C Avalos is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Jack C Avalos, MD Po Box 2660, Waterloo, IA 50704-2660 Ph: (319) 233-3044 | Jack C Avalos, MD 1410 N 4th St, Clinton, IA 52732-2940 Ph: (563) 244-5642 |
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