Jack R Reid Jr, MD is a medicare enrolled "Internal Medicine" physician in Walker, Louisiana. He graduated from medical school in 1985 and has 39 years of diverse experience with area of expertise as Internal Medicine. He is a member of the group practice Our Lady Of The Lake Physician Group Llc and his current practice location is
5000 Odonavan Blvd Ste 307, Walker, Louisiana. You can reach out to his office (for appointments etc.) via phone at
(225) 791-3117.
Jack R Reid Jr is licensed to practice in Louisiana (license number L018291) and he also participates in the medicare program. He
accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1518968262.
Physician's Profile
Full Name | Jack R Reid Jr |
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Gender | Male |
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Speciality | Internal Medicine |
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Experience | 39 Years |
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Location | 5000 Odonavan Blvd Ste 307, Walker, Louisiana |
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Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Medical Education and Training:
- Jack R Reid Jr graduated from medical school in 1985
NPI Data:
- NPI Number: 1518968262
- Provider Enumeration Date: 08/03/2005
- Last Update Date: 05/26/2022
Medicare PECOS Information:
- PECOS PAC ID: 2961697180
- Enrollment ID: I20101220000095
Medical Identifiers
Medical identifiers for Jack R Reid Jr such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1518968262 | NPI | - | NPPES |
1928135 | Medicaid | LA | |
P00335585 | Other | LA | RAILROAD MCARE |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207R00000X | Internal Medicine | L018291 (Louisiana) | Primary |
Medical Facilities Affiliation
Group Practice Association
Group Practice Name | Group PECOS PAC ID | No. of Members |
Our Lady Of The Lake Physician Group Llc | 4587849781 | 521 |
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 R Reid Jr allows following entities to bill medicare on his behalf.
Entity Name | Our Lady Of The Lake Physician Group Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1033494943 PECOS PAC ID: 4587849781 Enrollment ID: O20120529000377 |
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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 R Reid Jr 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 R Reid Jr, MD Po Box 877, Denham Springs, LA 70727-0877 Ph: (225) 791-3117 | Jack R Reid Jr, MD 5000 Odonavan Blvd Ste 307, Walker, LA 70785-6355 Ph: (225) 791-3117 |
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