Jennifer Lynn Jacks, MD is a medicare enrolled "Dermatology" physician in Pine Bluff, Arkansas. She went to University Of Arkansas College Of Medicine and graduated in 2008 and has 16 years of diverse experience with area of expertise as Dermatology. Her current practice location is
1718 W 42nd Ave, Pine Bluff, Arkansas. You can reach out to her office (for appointments etc.) via phone at
(870) 534-7546.
Jennifer Lynn Jacks is licensed to practice in Arkansas (license number E7442) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1699948901.
Physician's Profile
Full Name | Jennifer Lynn Jacks |
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Gender | Female |
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Speciality | Dermatology |
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Experience | 16 Years |
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Location | 1718 W 42nd Ave, Pine Bluff, Arkansas |
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Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Medical Education and Training:
- Jennifer Lynn Jacks attended and graduated from University Of Arkansas College Of Medicine in 2008
NPI Data:
- NPI Number: 1699948901
- Provider Enumeration Date: 04/08/2008
- Last Update Date: 09/29/2020
Medicare PECOS Information:
- PECOS PAC ID: 6406012046
- Enrollment ID: I20120725000777
Medical Identifiers
Medical identifiers for Jennifer Lynn Jacks such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1699948901 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207N00000X | Dermatology | E7442 (Arkansas) | 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. Jennifer Lynn Jacks allows following entities to bill medicare on her behalf.
Entity Name | Jacks Dermatology P.a. |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1558621367 PECOS PAC ID: 5597921130 Enrollment ID: O20120725000721 |
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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. Jennifer Lynn Jacks 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 |
Jennifer Lynn Jacks, MD 1710 W 42nd Ave, Pine Bluff, AR 71603 Ph: (870) 534-7546 | Jennifer Lynn Jacks, MD 1718 W 42nd Ave, Pine Bluff, AR 71603-7008 Ph: (870) 534-7546 |
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