Mrs Alexandra M Jack, RD - Dietitian in Vancouver, WA

Mrs Alexandra M Jack, RD is a Dietitian, Registered based in Vancouver, Washington. Mrs Alexandra M Jack is licensed to practice in Oregon (license number 560) and her current practice location is 8716 E Mill Plain Blvd, Specialty Clinics Building, Vancouver, Washington. She can be reached at her office (for appointments etc.) via phone at (360) 514-7932.

NPI number for Mrs Alexandra M Jack is 1972674083 and her current mailing address is 8716 E Mill Plain Blvd, Specialty Clinics Building, Vancouver, Washington. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1972674083.

Contact Information

Mrs Alexandra M Jack, RD
8716 E Mill Plain Blvd, Specialty Clinics Building,
Vancouver, WA 98664-2531
(360) 514-7932
Not Available

Map and Direction




Healthcare Provider's Profile

Full NameMrs Alexandra M Jack
GenderFemale
SpecialityDietitian, Registered
Location8716 E Mill Plain Blvd, Vancouver, Washington
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1972674083
  • Provider Enumeration Date: 11/11/2006
  • Last Update Date: 10/10/2013

Medical Identifiers

Medical identifiers for Mrs Alexandra M Jack such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1972674083NPI-NPPES
8404915MedicaidOR

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
133V00000XDietitian, Registered 560 (Oregon)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. Mrs Alexandra M 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
Mrs Alexandra M Jack, RD
8716 E Mill Plain Blvd, Specialty Clinics Building,
Vancouver, WA 98664-2531

Ph: (360) 514-7932
Mrs Alexandra M Jack, RD
8716 E Mill Plain Blvd, Specialty Clinics Building,
Vancouver, WA 98664-2531

Ph: (360) 514-7932

Reviews and Comments


Dietitian, Registered in Vancouver, WA

Patricia K Mortell,
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Medicare: Not Enrolled in Medicare
Practice Location: 1601 E Fourth Plain Blvd, Vancouver, WA 98661
Phone: 360-397-8000    Fax: 360-397-8110
Jan M Apland-curtis,
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Medicare: Not Enrolled in Medicare
Practice Location: 1601 E Fourth Plain Blvd, Building 17, Vancouver, WA 98661
Phone: 360-397-8000    Fax: 360-397-8110
Ms. Thea Lynch, RDN
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Medicare: Not Enrolled in Medicare
Practice Location: 1601 E 4th Plain Blvd, Vancouver, WA 98661
Phone: 510-759-4746    
Jennifer M Prouse, RD
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Medicare: Accepting Medicare Assignments
Practice Location: 400 Ne Mother Joseph Pl, Vancouver, WA 98664
Phone: 360-514-2559    Fax: 360-514-3590
Caitlin Carr, RD
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Medicare: Medicare Enrolled
Practice Location: 700 Ne 87th Ave, Vancouver, WA 98664
Phone: 360-882-2778    
Jennifer J Newman, RD
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Medicare: Accepting Medicare Assignments
Practice Location: 400 Ne Mother Joseph Pl, Vancouver, WA 98664
Phone: 360-514-3475    Fax: 360-514-3590
Mrs. Sydney Davis, MDA, RD, CSP
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Medicare: Not Enrolled in Medicare
Practice Location: 600 Ne 92nd Ave, Vancouver, WA 98664
Phone: 360-514-2320    

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.