Jack D Rush, MD - Medicare Family Medicine in Clayton, NY

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Jack D Rush, MD is a medicare enrolled "Family Medicine" physician in Clayton, New York. His current practice location is 909 Strawberry Ln, Clayton, New York. You can reach out to his office (for appointments etc.) via phone at (315) 686-2094.

Jack D Rush is licensed to practice in New York (license number 153963) 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 1356399844.

Contact Information

Jack D Rush, MD
909 Strawberry Ln,
Clayton, NY 13624-1409
(315) 686-2094
(315) 686-2821

Map and Direction




Physician's Profile

Full NameJack D Rush
GenderMale
SpecialityFamily Medicine
Location909 Strawberry Ln, Clayton, New York
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1356399844
  • Provider Enumeration Date: 05/05/2006
  • Last Update Date: 02/29/2012
  Medicare PECOS Information:
  • PECOS PAC ID: 0143116822
  • Enrollment ID: I20091203000316

Medical Identifiers

Medical identifiers for Jack D Rush such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1356399844NPI-NPPES
00354316MedicaidNY

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine 153963 (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. Jack D Rush allows following entities to bill medicare on his behalf.
Entity NameSamaritan Medical Center
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1598713745
PECOS PAC ID: 8123914876
Enrollment ID: O20040227000525

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 D Rush 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
Jack D Rush, MD
909 Strawberry Ln,
Clayton, NY 13624-1409

Ph: (315) 686-2094		Jack D Rush, MD
909 Strawberry Ln,
Clayton, NY 13624-1409

Ph: (315) 686-2094

Reviews and Comments


Family Medicine Doctors in Clayton, NY

Dr. Aaron Dale Huizenga, D.O.
Family Medicine
Medicare: Medicare Enrolled
Practice Location: 909 Strawberry Ln, Clayton, NY 13624
Phone: 315-686-2094    Fax: 315-686-2821
Galina Gindina, DO
Family Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 909 Strawberry Ln, Sfhc, Clayton, NY 13624
Phone: 315-686-2094    
Stephen Grybowski, M.D.
Family Medicine
Medicare: Medicare Enrolled
Practice Location: 909 Strawberry Ln, Clayton, NY 13624
Phone: 315-686-2094    Fax: 315-686-2821

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.