Jason M Zack, MD is a medicare enrolled "Dermatology" physician in Fort Leonard Wood, Missouri. His current practice location is
4430 Missouri Ave, Fort Leonard Wood, Missouri. You can reach out to his office (for appointments etc.) via phone at
(573) 596-1769.
Jason M Zack is licensed to practice in Virginia (license number 0101259277) 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 1255745691.
Physician's Profile
Full Name | Jason M Zack |
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Gender | Male |
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Speciality | Dermatology |
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Location | 4430 Missouri Ave, Fort Leonard Wood, Missouri |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1255745691
- Provider Enumeration Date: 06/13/2014
- Last Update Date: 01/25/2023
Medicare PECOS Information:
- PECOS PAC ID: 2668877572
- Enrollment ID: I20210816001984
Medical Identifiers
Medical identifiers for Jason M Zack such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1255745691 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207N00000X | Dermatology | 0101259277 (Virginia) | 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. Jason M Zack 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 |
Jason M Zack, MD 4430 Missouri Ave, Fort Leonard Wood, MO 65473-9098 Ph: (573) 596-1769 | Jason M Zack, MD 4430 Missouri Ave, Fort Leonard Wood, MO 65473-9098 Ph: (573) 596-1769 |
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