Melinda Kristine Jack, MD is a medicare enrolled "Colon & Rectal Surgery" physician in Columbus, Ohio. Her current practice location is
5965 E Broad St, Suite 120, Columbus, Ohio. You can reach out to her office (for appointments etc.) via phone at
(614) 864-1000.
Melinda Kristine Jack is licensed to practice in Ohio (license number 35-088654) 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 1760543177.
Physician's Profile
Full Name | Melinda Kristine Jack |
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Gender | Female |
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Speciality | |
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Experience | Years |
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Location | 5965 E Broad St, Columbus, Ohio |
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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:
- Melinda Kristine Jack attended and graduated from in
NPI Data:
- NPI Number: 1760543177
- Provider Enumeration Date: 12/12/2006
- Last Update Date: 01/05/2022
Medicare PECOS Information:
- PECOS PAC ID:
- Enrollment ID:
Medical Identifiers
Medical identifiers for Melinda Kristine Jack such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1760543177 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
208600000X | Surgery | 35088654 (Ohio) | Secondary |
208C00000X | Colon & Rectal Surgery | 35-088654 (Ohio) | 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. Melinda Kristine 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 |
Melinda Kristine Jack, MD 5965 E Broad St, Suite 120, Columbus, OH 43213-1562 Ph: (614) 864-1000 | Melinda Kristine Jack, MD 5965 E Broad St, Suite 120, Columbus, OH 43213-1562 Ph: (614) 864-1000 |
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