Jack Dennis Zandstra, is a medicare enrolled "Physician Assistant" in Willowbrook, Illinois. He went to Albany Medical College Of Union University and graduated in 2021 and has 3 years of diverse experience with area of expertise as Physician Assistant. He is a member of the group practice Midwest Express Care 2 Inc and his current practice location is
40 75th St, Willowbrook, Illinois. You can reach out to his office (for appointments etc.) via phone at
(630) 581-5372.
Jack Dennis Zandstra is licensed to practice in Illinois (license number 1171553) 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 1881362051.
Provider's Profile
| Full Name | Jack Dennis Zandstra |
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| Gender | Male |
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| Speciality | Physician Assistant |
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| Experience | 3 Years |
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| Location | 40 75th St, Willowbrook, Illinois |
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| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Jack Dennis Zandstra attended and graduated from Albany Medical College Of Union University in 2021
NPI Data:
- NPI Number: 1881362051
- Provider Enumeration Date: 09/02/2021
- Last Update Date: 09/02/2021
Medicare PECOS Information:
- PECOS PAC ID: 0941608814
- Enrollment ID: I20211006002728
Medical Identifiers
Medical identifiers for Jack Dennis Zandstra such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1881362051 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 363A00000X | Physician Assistant | 1171553 (Illinois) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Midwest Express Care 2 Inc | 0547495467 | 158 |
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. Jack Dennis Zandstra 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 |
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Jack Dennis Zandstra,
40 75th St,
Willowbrook, IL 60527-2325
Ph: (630) 581-5372 | Jack Dennis Zandstra,
40 75th St,
Willowbrook, IL 60527-2325
Ph: (630) 581-5372 |
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