Mr Dennis Michael Jack, FNP - Medicare Nurse Practitioner in Buffalo, NY

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Mr Dennis Michael Jack, FNP is a medicare enrolled "Nurse Practitioner - Family" in Buffalo, New York. He graduated from nursing school in 2018 and has 6 years of diverse experience with area of expertise as Nurse Practitioner. He is a member of the group practice Erie County Medical Center Corporation and his current practice location is 462 Grider St, Buffalo, New York. You can reach out to his office (for appointments etc.) via phone at (716) 609-0312.

Mr Dennis Michael Jack is licensed to practice in New York (license number 343352) 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 1659858827.

Contact Information

Mr Dennis Michael Jack, FNP
462 Grider St,
Buffalo, NY 14215-3021
(716) 609-0312
Not Available

Map and Direction




Provider's Profile

Full NameMr Dennis Michael Jack
GenderMale
SpecialityNurse Practitioner
Experience6 Years
Location462 Grider St, Buffalo, New York
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 Dennis Michael Jack graduated from nursing school in 2018
  NPI Data:
  • NPI Number: 1659858827
  • Provider Enumeration Date: 07/20/2018
  • Last Update Date: 05/10/2021
  Medicare PECOS Information:
  • PECOS PAC ID: 3678822939
  • Enrollment ID: I20180820001666

Medical Identifiers

Medical identifiers for Mr Dennis Michael Jack such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1659858827NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LF0000XNurse Practitioner - Family 343352 (New York)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Erie County Medical CenterBuffalo, NYHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Erie County Medical Center Corporation1456308907115

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 Dennis Michael Jack allows following entities to bill medicare on his behalf.
Entity NameBuffalo Medical Group, P.c.
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1881659506
PECOS PAC ID: 7012820301
Enrollment ID: O20031112000213
Entity NameAcademic Medicine Services, Inc.
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1255394763
PECOS PAC ID: 0941105241
Enrollment ID: O20040429000839
Entity NameErie County Medical Center Corporation
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1528233616
PECOS PAC ID: 1456308907
Enrollment ID: O20050715000538

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 Dennis Michael 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 Dennis Michael Jack, FNP
6103 Woodford Dr,
Lake View, NY 14085-9457

Ph: (716) 609-0312		Mr Dennis Michael Jack, FNP
462 Grider St,
Buffalo, NY 14215-3021

Ph: (716) 609-0312

Reviews and Comments


Nurse Practitioner Nurses in Buffalo, NY

Mr. V. Thomas Chapin, PMHNP
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Practice Location: 462 Grider St, Buffalo, NY 14215
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Beth Lyn Vaccarelli, ANP
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Phone: 716-995-4450    
Ms. Denise Marie Donahue, NURSE PRACTITIONER
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Mr. Jerry L Corp Ii, PMHNP-BC
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Practice Location: 255 Delaware Ave, Buffalo, NY 14202
Phone: 716-884-0888    
Stephanie Erin Myszka, F.N.P.- BC
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Medicare: Accepting Medicare Assignments
Practice Location: Elm And Carlton St, Buffalo, NY 14263
Phone: 716-845-2300    
Jessica Lynn Hafezi,
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Medicare: Accepting Medicare Assignments
Practice Location: Elm And Carlton Streets, Buffalo, NY 14263
Phone: 716-845-2300    
Yevgeniya S Lipina, FNP
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 701 Seneca St Ste 646c, Buffalo, NY 14210
Phone: 716-995-4450    Fax: 844-206-7424

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.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.