Courtney Marie Jack, RN - Registered Nurse in Rockford, MI

Courtney Marie Jack, RN is a Registered Nurse based in Rockford, Michigan. Courtney Marie Jack is licensed to practice in Michigan (license number 4704418051) and her current practice location is 10648 Grange Ave Ne, Rockford, Michigan. She can be reached at her office (for appointments etc.) via phone at (616) 334-8124.

NPI number for Courtney Marie Jack is 1508602889 and her current mailing address is 10648 Grange Ave Ne, Rockford, Michigan. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1508602889.

Contact Information

Courtney Marie Jack, RN
10648 Grange Ave Ne,
Rockford, MI 49341-9131
(616) 334-8124
Not Available

Map and Direction




Provider's Profile

Full NameCourtney Marie Jack
GenderFemale
SpecialityRegistered Nurse
Location10648 Grange Ave Ne, Rockford, Michigan
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1508602889
  • Provider Enumeration Date: 07/05/2024
  • Last Update Date: 07/05/2024

Medical Identifiers

Medical identifiers for Courtney Marie Jack such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1508602889NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
163W00000XRegistered Nurse 4704418051 (Michigan)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. Courtney Marie Jack is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Courtney Marie Jack, RN
10648 Grange Ave Ne,
Rockford, MI 49341-9131

Ph: (616) 334-8124
Courtney Marie Jack, RN
10648 Grange Ave Ne,
Rockford, MI 49341-9131

Ph: (616) 334-8124

Reviews and Comments


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Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

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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