Jack Lee Nettleton, MD in Flint, MI

Jack Lee Nettleton, MD is a medicare enrolled "Radiology - Radiation Oncology" physician in Flint, Michigan. His current practice location is 4100 Beecher Rd, Suite A, Flint, Michigan. You can reach out to his office (for appointments etc.) via phone at (810) 342-3800.

Jack Lee Nettleton is licensed to practice in Michigan (license number JN047780) 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 1174523575.

Contact Information

	Jack Lee Nettleton, MD
	4100 Beecher Rd, Suite A, Flint, MI 48532-3661
	(810) 342-3800
	(810) 342-3784

Map and Direction

Physician's Profile

Full Name	Jack Lee Nettleton
Gender	Male
Speciality	Radiology - Radiation Oncology
Location	4100 Beecher Rd, Flint, Michigan
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1174523575
Provider Enumeration Date: 07/28/2005
Last Update Date: 10/06/2009

Medicare PECOS Information:

PECOS PAC ID: 9537052956
Enrollment ID: I20040207000199

Medical Identifiers

Medical identifiers for Jack Lee Nettleton such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1174523575	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
2085R0001X	Radiology - Radiation Oncology	JN047780 (Michigan)	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 Lee Nettleton allows following entities to bill medicare on his behalf.

Entity Name	Hesham E Gayar Md Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1093839060 PECOS PAC ID: 2769385038 Enrollment ID: O20060207000224

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 Lee Nettleton 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
Jack Lee Nettleton, MD Po Box 1236, Grand Blanc, MI 48480-3236 Ph: (810) 342-3800	Jack Lee Nettleton, MD 4100 Beecher Rd, Suite A, Flint, MI 48532-3661 Ph: (810) 342-3800

Reviews and Comments

Radiology Doctors in Flint, MI

Kavita Rajkotia, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 1 Hurley Plz, Radiology Department, Flint, MI 48503 Phone: 810-424-4761
Dong Whan Oh, MD Radiology Medicare: Not Enrolled in Medicare Practice Location: 302 Kensington Ave, Flint, MI 48503 Phone: 810-762-8058 Fax: 810-762-8016
Robert J Yochim, M.D. Radiology Medicare: Not Enrolled in Medicare Practice Location: 2222 S Linden Rd, Suite R, Flint, MI 48532 Phone: 810-733-2769 Fax: 810-733-2830
Dr. Venu Kudithipudi, MD Radiology Medicare: Not Enrolled in Medicare Practice Location: 1 Hurley Plz, 7 West, Flint, MI 48503 Phone: 810-232-7000 Fax: 810-232-7020
Murugusundaram Veeramani, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 1 Hurley Plz, Flint, MI 48503 Phone: 810-262-4761 Fax: 810-262-4871
Dr. Lily Lim, M.D. Radiology Medicare: Medicare Enrolled Practice Location: 1173 Dyemeadow Ln, Flint, MI 48532 Phone: 810-516-5058 Fax: 810-732-7194
Omar Hesham Gayar, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 4100 Beecher Rd Ste A, Flint, MI 48532 Phone: 810-342-3800 Fax: 810-342-3784

Jack Lee Nettleton, MD - Medicare Radiology in Flint, MI