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

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 Oklahoma (license number 35968) 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 NameStuart Andrew Jack
GenderMale
SpecialityInternal Medicine
Location4502 E 41st St, Tulsa, Oklahoma
Accepts Medicare AssignmentsMedicare 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: 07/11/2023
  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.
IdentifierTypeStateIssuer
1255950713NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207R00000XInternal Medicine 35968 (Oklahoma)Primary

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 NameTulsa Hospital Medicine Physicians Group, Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI 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 AddressPractice 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

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Dr. Charles Wade Taylor, M.D.
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Phone: 918-505-3200    Fax: 918-505-3253

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.