Dr Alan Fowler Jacks, M D is a medicare enrolled "Surgery" physician in Connelly Springs, North Carolina. He went to Louisiana State University School Of Medicine In New Orleans and graduated in 1991 and has 35 years of diverse experience with area of expertise as General Surgery. He is a member of the group practice Blue Ridge Healthcare Medical Group Inc and his current practice location is
845 Malcolm Blvd., Connelly Springs, North Carolina. You can reach out to his office (for appointments etc.) via phone at
(828) 580-3555.
Dr Alan Fowler Jacks is licensed to practice in North Carolina (license number 9601640) 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 1992987713.
Physician's Profile
| Full Name | Dr Alan Fowler Jacks |
|---|
| Gender | Male |
|---|
| Speciality | General Surgery |
|---|
| Experience | 35 Years |
|---|
| Location | 845 Malcolm Blvd., Connelly Springs, North Carolina |
|---|
| 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 Alan Fowler Jacks attended and graduated from Louisiana State University School Of Medicine In New Orleans in 1991
NPI Data:
- NPI Number: 1992987713
- Provider Enumeration Date: 12/04/2007
- Last Update Date: 05/23/2018
Medicare PECOS Information:
- PECOS PAC ID: 1850481250
- Enrollment ID: I20071224000024
Medical Identifiers
Medical identifiers for Dr Alan Fowler Jacks such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1992987713 | NPI | - | NPPES |
| 1992987713 | Medicaid | NC | |
| 891013E | Medicaid | NC | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 208600000X | Surgery | 9601640 (North Carolina) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Blue Ridge Healthcare Medical Group Inc | 9436159712 | 222 |
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 Alan Fowler Jacks allows following entities to bill medicare on his behalf.
| Entity Name | Blue Ridge Healthcare Medical Group Inc |
|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
|---|
| Entity Identifiers | NPI Number: 1467993931
PECOS PAC ID: 9436159712
Enrollment ID: O20070110000601 |
|---|
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 Alan Fowler Jacks 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 Alan Fowler Jacks, M D
845 Malcolm Blvd.,
Connelly Springs, NC 28612
Ph: (828) 580-3555 | Dr Alan Fowler Jacks, M D
845 Malcolm Blvd.,
Connelly Springs, NC 28612
Ph: (828) 580-3555 |
Reviews and Comments