Cheryl Bellanca Jack, MD - Medicare General Practice in Lansing, MI

  1. Home
  2. General Practice
  3. MI
  4. Lansing
Cheryl Bellanca Jack, MD is a medicare enrolled "General Practice" physician in Lansing, Michigan. Her current practice location is 812 E Jolly Rd, Ste G12, Lansing, Michigan. You can reach out to her office (for appointments etc.) via phone at (517) 346-8283.

Cheryl Bellanca Jack is licensed to practice in Michigan (license number 4301062157) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1750327904.

Contact Information

Cheryl Bellanca Jack, MD
812 E Jolly Rd, Ste G12,
Lansing, MI 48910-6818
(517) 346-8283
(517) 346-8291

Map and Direction




Physician's Profile

Full NameCheryl Bellanca Jack
GenderFemale
SpecialityGeneral Practice
Location812 E Jolly Rd, Lansing, Michigan
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1750327904
  • Provider Enumeration Date: 06/22/2006
  • Last Update Date: 07/09/2007
  Medicare PECOS Information:
  • PECOS PAC ID: 6608871371
  • Enrollment ID: I20160427001621

Medical Identifiers

Medical identifiers for Cheryl Bellanca Jack such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1750327904NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
208D00000XGeneral Practice 4301062157 (Michigan)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. Cheryl Bellanca Jack allows following entities to bill medicare on her behalf.
Entity NamePennsylvania Department Of Human Services
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1447233424
PECOS PAC ID: 0547168064
Enrollment ID: O20050425000477
Entity NameUhs Of Pennsylvania, Inc.
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1124091715
PECOS PAC ID: 3971407438
Enrollment ID: O20050913000388

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. Cheryl Bellanca 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
Cheryl Bellanca Jack, MD
812 E Jolly Rd, Ste 210,
Lansing, MI 48910-6818

Ph: (517) 346-8410		Cheryl Bellanca Jack, MD
812 E Jolly Rd, Ste G12,
Lansing, MI 48910-6818

Ph: (517) 346-8283

Reviews and Comments


General Practice Doctors in Lansing, MI

Dr. Harold Franklin Roth, D.O.
General Practice
Medicare: Accepting Medicare Assignments
Practice Location: 1627 Lake Lansing Rd, Suite 200, Lansing, MI 48912
Phone: 517-485-1789    Fax: 517-485-2357
Kathleen M Connell, M.D.
General Practice
Medicare: Not Enrolled in Medicare
Practice Location: 6910 S Cedar St, Lansing, MI 48911
Phone: 517-694-4134    Fax: 517-694-1629
Dr. Caroline Amakove, MD
General Practice
Medicare: Medicare Enrolled
Practice Location: 606 Nantucket Dr, Lansing, MI 48906
Phone: 517-914-4416    
Margaret Ijeoma Aguwa, D.O.
General Practice
Medicare: Not Enrolled in Medicare
Practice Location: 2929 Coventing Court, Lansing, MI 48912
Phone: 517-371-4971    Fax: 517-355-1710
Peter H Cooke, M.D.
General Practice
Medicare: Accepting Medicare Assignments
Practice Location: 1717 N High St, Lansing, MI 48906
Phone: 517-371-1700    Fax: 517-268-6609
Danielle Trinity Miller, D.O.
General Practice
Medicare: Medicare Enrolled
Practice Location: 901 E Mount Hope Ave, Lansing, MI 48910
Phone: 517-485-1153    
Dr. Thomas W Keaveney, M.D.
General Practice
Medicare: Not Enrolled in Medicare
Practice Location: 1322 E Michigan Ave, Suite 101, Lansing, MI 48912
Phone: 517-364-3900    Fax: 517-364-3514

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.