Stuart Andrew Jack, in Tulsa, OK - Medicare Internal Medicine

Stuart Andrew Jack, is a medicare enrolled "Internal Medicine" physician in Tulsa, Oklahoma. His current practice location is 4502 E 41st St, Tulsa, Oklahoma. You can reach out to his office (for appointments etc.) via phone at (918) 619-4400.

Stuart Andrew Jack is licensed to practice in Florida (license number ME167093) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1255950713.

Contact Information

	Stuart Andrew Jack,
	4502 E 41st St, Tulsa, OK 74135-2536
	(918) 619-4400
	Not Available

Map and Direction

Physician's Profile

Full Name	Stuart Andrew Jack
Gender	Male
Speciality	Internal Medicine
Location	4502 E 41st St, Tulsa, Oklahoma
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1255950713
Provider Enumeration Date: 04/14/2020
Last Update Date: 07/22/2024

Medicare PECOS Information:

PECOS PAC ID: 9335514686
Enrollment ID: I20230419000408

Medical Identifiers

Medical identifiers for Stuart Andrew Jack such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1255950713	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207R00000X	Internal Medicine	ME167093 (Florida)	Primary
207R00000X	Internal Medicine	35968 (Oklahoma)	Secondary

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. Stuart Andrew Jack allows following entities to bill medicare on his behalf.

Entity Name	Tulsa Hospital Medicine Physicians Group, Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1144982711 PECOS PAC ID: 7214327832 Enrollment ID: O20211214000389

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. Stuart Andrew 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
Stuart Andrew Jack, 3704 E 67th St, Tulsa, OK 74136-2821 Ph: (913) 708-0434	Stuart Andrew Jack, 4502 E 41st St, Tulsa, OK 74135-2536 Ph: (918) 619-4400

Reviews and Comments

Internal Medicine Doctors in Tulsa, OK

Sarah Anne Shaw-dressler, D.O. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 6151 S Yale Ave Ste 100a, Tulsa, OK 74136 Phone: 918-494-8500 Fax: 918-307-5578
Julia Margaret Kwon, DO Internal Medicine Medicare: Medicare Enrolled Practice Location: 1705 E 19th St Ste 302, Tulsa, OK 74104 Phone: 918-748-7585 Fax: 918-748-7539
Peter Madden, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 4502 E 41st St, Tulsa, OK 74135 Phone: 918-619-4400
Thao Tran, D.O Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 4502 E. 41st Street, Tulsa, OK 74135 Phone: 918-619-4400
Prasoonkumar Yendluri, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 6161 S Yale Ave, Tulsa, OK 74136 Phone: 918-502-1900 Fax: 918-494-6303
Robert Peter Aran, D.O. Internal Medicine Medicare: Medicare Enrolled Practice Location: 6160 S Yale Ave Ste 100, Tulsa, OK 74136 Phone: 918-497-3300 Fax: 918-497-3365
Robert Dean Okada, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 6151 S Yale Ave, Ste 304, Tulsa, OK 74136 Phone: 918-494-5300 Fax: 918-494-5455

Stuart Andrew Jack, - Medicare Internal Medicine in Tulsa, OK