Joani L Jack, MD in Chattanooga, TN

Joani L Jack, MD is a medicare enrolled "Pediatrics" physician in Chattanooga, Tennessee. Her current practice location is 910 Blackford St, Chattanooga, Tennessee. You can reach out to her office (for appointments etc.) via phone at (423) 778-6012.

Joani L Jack is licensed to practice in Tennessee (license number 24883) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1184698698.

Contact Information

	Joani L Jack, MD
	910 Blackford St, Chattanooga, TN 37403-1405
	(423) 778-6012
	(423) 778-6958

Map and Direction

Physician's Profile

Full Name	Joani L Jack
Gender	Female
Speciality	Pediatrics
Location	910 Blackford St, Chattanooga, Tennessee
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1184698698
Provider Enumeration Date: 02/14/2006
Last Update Date: 11/18/2008

Medicare PECOS Information:

PECOS PAC ID: 1254371487
Enrollment ID: I20050506000706

Medical Identifiers

Medical identifiers for Joani L Jack such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1184698698	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208000000X	Pediatrics	24883 (Tennessee)	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. Joani L Jack allows following entities to bill medicare on her behalf.

Entity Name	Chattanooga Hamilton County Hospital Authority
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1154751931 PECOS PAC ID: 0547179731 Enrollment ID: O20040302001086

Entity Name	Erlanger Health
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1477256303 PECOS PAC ID: 1153780226 Enrollment ID: O20230707000849

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. Joani L Jack 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
Joani L Jack, MD 910 Blackford St, Chattanooga, TN 37403-1405 Ph: (423) 778-6012	Joani L Jack, MD 910 Blackford St, Chattanooga, TN 37403-1405 Ph: (423) 778-6012

Reviews and Comments

Pediatrics Doctors in Chattanooga, TN

Kathleen S Hunt, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 910 Blackford St, Chattanooga, TN 37403 Phone: 423-778-6505 Fax: 423-778-3157
Yolanda Spraggins, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 1651 Gunbarrel Rd Ste 302, Chattanooga, TN 37421 Phone: 423-899-2904 Fax: 423-892-5058
Jane S Catterton, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 632 Morrison Springs Rd, Suite 300, Chattanooga, TN 37415 Phone: 423-877-4524 Fax: 423-875-5860
Mr. Ricardo Federico Causo, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 6025 Lee Hwy, Ste. 447, Chattanooga, TN 37421 Phone: 423-490-1547 Fax: 423-490-1197
Dr. Rachel A Nelson, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 7550 Goodwin Rd, Chattanooga, TN 37421 Phone: 423-894-3252 Fax: 423-894-2237
Dr. William Woods Blake, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 975 E 3rd St, Chattanooga, TN 37403 Phone: 423-778-6170 Fax: 423-778-6938
Dr. Lisa Ann Lowery-smith, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 975 E 3rd St, Chattanooga, TN 37403 Phone: 423-778-6170 Fax: 423-778-6938

Joani L Jack, MD - Medicare Pediatrics in Chattanooga, TN