Dr Michael Jack, DPM in Kent, OH - Medicare Podiatry Provider

Dr Michael Jack, DPM is a medicare enrolled "Podiatrist" provider in Kent, Ohio. He went to Kent State University College Of Podiatric Medicine and graduated in 2014 and has 10 years of diverse experience with area of expertise as Podiatry. He is a member of the group practice United Podiatry Inc and his current practice location is 1930 State Route 59, Kent, Ohio. You can reach out to his office (for appointments etc.) via phone at (330) 673-3505.

Dr Michael Jack is licensed to practice in Ohio (license number 36.003804) 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 1780080812.

Contact Information

	Dr Michael Jack, DPM
	1930 State Route 59, Kent, OH 44240-4112
	(330) 673-3505
	(330) 673-4888

Map and Direction

Healthcare Provider's Profile

Full Name	Dr Michael Jack
Gender	Male
Speciality	Podiatry
Experience	10 Years
Location	1930 State Route 59, Kent, Ohio
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Dr Michael Jack attended and graduated from Kent State University College Of Podiatric Medicine in 2014

NPI Data:

NPI Number: 1780080812
Provider Enumeration Date: 11/18/2014
Last Update Date: 08/20/2020

Medicare PECOS Information:

PECOS PAC ID: 5395012868
Enrollment ID: I20170605001628

Medical Identifiers

Medical identifiers for Dr Michael Jack such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1780080812	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
213E00000X	Podiatrist	36.003804 (Ohio)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Summa Health System	Akron, OH	Hospital
University Hospitals Of Cleveland	Cleveland, OH	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
United Podiatry Inc	0143512046	4

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. Dr Michael Jack allows following entities to bill medicare on his behalf.

Provider Name	United Podiatry Inc
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1396106613 PECOS PAC ID: 0143512046 Enrollment ID: O20160713002524

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. Dr 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 Address	Practice Location Address
Dr Michael Jack, DPM 1930 State Route 59, Kent, OH 44240-4112 Ph: (330) 596-6000	Dr Michael Jack, DPM 1930 State Route 59, Kent, OH 44240-4112 Ph: (330) 673-3505

Reviews and Comments

Podiatrist in Kent, OH

Jeffrey Fesler, D.P.M. Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 1930 State Route 59 Ste D, Kent, OH 44240 Phone: 330-673-3505 Fax: 330-673-4888
Windy Cole Dpm Podiatrist Medicare: Medicare Enrolled Practice Location: 1533 S Water St, Kent, OH 44240 Phone: 330-285-3116
Dr. Rodney Scott, DPM Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 1930 State Route 59, Ste D, Kent, OH 44240 Phone: 330-673-3505 Fax: 330-673-4888
United Podiatry Inc Podiatrist Medicare: Medicare Enrolled Practice Location: 1930 State Route 59 Ste D, Kent, OH 44240 Phone: 330-673-3505 Fax: 330-673-4888
Dr. Jennifer M Fath, DPM Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 1221 S. Water Street, Suite A, Kent, OH 44240 Phone: 330-474-0500 Fax: 330-474-0501
Benedict Podiatry Group Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 1627 E Main St, Kent, OH 44240 Phone: 330-673-3505 Fax: 330-673-4888
Ohio Podiatric Physicians And Surgeons Group, Llc Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 1627 E Main St, Kent, OH 44240 Phone: 330-673-3505 Fax: 330-673-4888

Dr Michael Jack, DPM - Medicare Podiatrist in Kent, OH