Mr Robert Stephen Jack, MD - Medicare Ophthalmology in Los Angeles, CA

Mr Robert Stephen Jack, MD is a medicare enrolled "Ophthalmology" physician in Los Angeles, California. He went to Js Weill Medical College, Cornell University and graduated in 1995 and has 29 years of diverse experience with area of expertise as Ophthalmology. He is a member of the group practice Island Eye Center and his current practice location is 8717 La Tijera Blvd, Los Angeles, California. You can reach out to his office (for appointments etc.) via phone at (310) 645-4393.

Mr Robert Stephen Jack is licensed to practice in California (license number A63108) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1154338515.

Contact Information

Mr Robert Stephen Jack, MD
8717 La Tijera Blvd,
Los Angeles, CA 90045-3906
(310) 645-4393
(310) 645-4508

Map and Direction




Physician's Profile

Full NameMr Robert Stephen Jack
GenderMale
SpecialityOphthalmology
Experience29 Years
Location8717 La Tijera Blvd, Los Angeles, California
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Mr Robert Stephen Jack attended and graduated from Js Weill Medical College, Cornell University in 1995
  NPI Data:
  • NPI Number: 1154338515
  • Provider Enumeration Date: 08/01/2006
  • Last Update Date: 07/08/2007
  Medicare PECOS Information:
  • PECOS PAC ID: 5890719520
  • Enrollment ID: I20070907000243

Medical Identifiers

Medical identifiers for Mr Robert Stephen Jack such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1154338515NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207W00000XOphthalmology A63108 (California)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Island Eye Center33754449203

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. Mr Robert Stephen Jack allows following entities to bill medicare on his behalf.
Entity NameIsland Eye Center
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1487772000
PECOS PAC ID: 3375444920
Enrollment ID: O20040116000210

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. Mr Robert Stephen 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 AddressPractice Location Address
Mr Robert Stephen Jack, MD
8717 La Tijera Blvd,
Los Angeles, CA 90045-3906

Ph: (310) 645-4393
Mr Robert Stephen Jack, MD
8717 La Tijera Blvd,
Los Angeles, CA 90045-3906

Ph: (310) 645-4393

Reviews and Comments


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Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

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