Jared W Pack, DO in Bristol, TN - Medicare Hospitalist

Jared W Pack, DO is a medicare enrolled "Hospitalist" physician in Bristol, Tennessee. He went to Lincoln Memorial University Medical Department and graduated in 2014 and has 10 years of diverse experience with area of expertise as Hospitalist. He is a member of the group practice New Life Medicine and his current practice location is 1 Medical Park Blvd, Bristol, Tennessee. You can reach out to his office (for appointments etc.) via phone at (423) 844-5560.

Jared W Pack is licensed to practice in Tennessee (license number 2980) and he also participates in the medicare program. He may accept medicare assignments (which means he may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance) and his NPI Number is 1396163101.

Contact Information

	Jared W Pack, DO
	1 Medical Park Blvd, Bristol, TN 37620-7430
	(423) 844-5560
	(423) 844-5569

Map and Direction

Physician's Profile

Full Name	Jared W Pack
Gender	Male
Speciality	Hospitalist
Experience	10 Years
Location	1 Medical Park Blvd, Bristol, Tennessee
Accepts Medicare Assignments	May be. He may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance.

Medical Education and Training:

Jared W Pack attended and graduated from Lincoln Memorial University Medical Department in 2014

NPI Data:

NPI Number: 1396163101
Provider Enumeration Date: 03/31/2014
Last Update Date: 07/21/2022

Medicare PECOS Information:

PECOS PAC ID: 0042587529
Enrollment ID: I20170605001972

Medical Identifiers

Medical identifiers for Jared W Pack such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1396163101	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208M00000X	Hospitalist	2980 (Tennessee)	Primary
207R00000X	Internal Medicine	2980 (Tennessee)	Secondary
390200000X	Student In An Organized Health Care Education/training Program	(* (Not Available))	Secondary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
New Life Medicine	9436434909	17

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. Jared W Pack allows following entities to bill medicare on his behalf.

Entity Name	Wellmont Medical Associates Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1780986257 PECOS PAC ID: 8123291739 Enrollment ID: O20111026000909

Entity Name	New Life Medicine
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1114462215 PECOS PAC ID: 9436434909 Enrollment ID: O20170323002169

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. Jared W Pack 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
Jared W Pack, DO 105 W Stone Dr Ste 6a, Kingsport, TN 37660-3256 Ph: (423) 408-7220	Jared W Pack, DO 1 Medical Park Blvd, Bristol, TN 37620-7430 Ph: (423) 844-5560

Reviews and Comments

Hospitalist Doctors in Bristol, TN

Stephanie Ann Adams, D.O. Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 1 Medical Park Blvd Ste 3w, Bristol, TN 37620 Phone: 423-282-1480 Fax: 423-928-1353
Dr. Walter Davis Arnold Jr., MD Hospitalist Medicare: Medicare Enrolled Practice Location: 1 Medical Park Blvd, Bristol, TN 37620 Phone: 423-282-1480 Fax: 423-928-1353
Dr. Robert N Tiballi, D.O. Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 1 Medical Park Blvd, Bristol, TN 37620 Phone: 423-844-1121
Linda Chong Moody, NP Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 1 Medical Park Blvd, Bristol, TN 37620 Phone: 423-844-3993 Fax: 423-844-4411
Sarah Elizabeth Gantt Gach, MD Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 208 Medical Park Blvd, Bristol, TN 37620 Phone: 423-990-3012 Fax: 423-990-3045
Mark Y Sah, DO Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 1 Medical Park Blvd, Bristol, TN 37620 Phone: 423-844-5560 Fax: 423-844-5569

Jared W Pack, DO - Medicare Hospitalist in Bristol, TN