Marilou Reyes Jack, MD is a medicare enrolled "Pediatrics" physician in Beatrice, Nebraska. Her current practice location is
4800 Hospital Parkway, Beatrice, Nebraska. You can reach out to her office (for appointments etc.) via phone at
(402) 228-3344.
Marilou Reyes Jack is licensed to practice in Oregon (license number MD26013) 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 1669442075.
Physician's Profile
Full Name | Marilou Reyes Jack |
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Gender | Female |
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Speciality | Pediatrics |
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Location | 4800 Hospital Parkway, Beatrice, Nebraska |
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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: 1669442075
- Provider Enumeration Date: 01/26/2006
- Last Update Date: 09/24/2012
Medicare PECOS Information:
- PECOS PAC ID: 4385679125
- Enrollment ID: I20121126000376
Medical Identifiers
Medical identifiers for Marilou Reyes Jack such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1669442075 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
208000000X | Pediatrics | MD26013 (Oregon) | 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. Marilou Reyes Jack allows following entities to bill medicare on her behalf.
Entity Name | Beatrice Community Hospital & Health Center Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1922111855 PECOS PAC ID: 1951208222 Enrollment ID: O20121214000477 |
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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. Marilou Reyes 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 |
Marilou Reyes Jack, MD 4800 Hospital Parkway, Beatrice, NE 68310-6906 Ph: (402) 228-3344 | Marilou Reyes Jack, MD 4800 Hospital Parkway, Beatrice, NE 68310-6906 Ph: (402) 228-3344 |
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