Dr Avanelle V Jack, MD - Medicare Nephrology in Brunswick, GA

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Dr Avanelle V Jack, MD is a medicare enrolled "Internal Medicine - Nephrology" physician in Brunswick, Georgia. She went to Louisiana State University School Of Medicine In New Orleans and graduated in 1995 and has 29 years of diverse experience with area of expertise as Nephrology. She is a member of the group practice Oak Street Health Physicians Group Of Louisiana Llc and her current practice location is 208 Scranton Connector Ste 117, Brunswick, Georgia. You can reach out to her office (for appointments etc.) via phone at (912) 264-5961.

Dr Avanelle V Jack is licensed to practice in Georgia (license number 78666) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1316996671.

Contact Information

Dr Avanelle V Jack, MD
208 Scranton Connector Ste 117,
Brunswick, GA 31525-0560
(912) 264-5961
(912) 262-9499

Map and Direction




Physician's Profile

Full NameDr Avanelle V Jack
GenderFemale
SpecialityNephrology
Experience29 Years
Location208 Scranton Connector Ste 117, Brunswick, Georgia
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Dr Avanelle V Jack attended and graduated from Louisiana State University School Of Medicine In New Orleans in 1995
  NPI Data:
  • NPI Number: 1316996671
  • Provider Enumeration Date: 05/06/2006
  • Last Update Date: 10/24/2017
  Medicare PECOS Information:
  • PECOS PAC ID: 7012933344
  • Enrollment ID: I20051017000537

Medical Identifiers

Medical identifiers for Dr Avanelle V Jack such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1316996671NPI-NPPES
1491501MedicaidLA

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207RN0300XInternal Medicine - Nephrology MD.022645 (Louisiana)Secondary
207RN0300XInternal Medicine - Nephrology 78666 (Georgia)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Oak Street Health Physicians Group Of Louisiana Llc640626138719

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 Avanelle V Jack allows following entities to bill medicare on her behalf.
Entity NameLouisiana State University School Of Medicine In New Orleans Faculty G
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1477582526
PECOS PAC ID: 0244136448
Enrollment ID: O20031209000661
Entity NameSoutheast Community Health Systems
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1023147113
PECOS PAC ID: 4284610437
Enrollment ID: O20050124000119
Entity NameSoutheast Community Health Systems
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1366617367
PECOS PAC ID: 4284610437
Enrollment ID: O20120808000592
Entity NameMain Street Physician Services Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1396150785
PECOS PAC ID: 8022331909
Enrollment ID: O20141229001749
Entity NameOak Street Health Physicians Group Of Louisiana Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1053917948
PECOS PAC ID: 6406261387
Enrollment ID: O20210301000008

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 Avanelle V 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
Dr Avanelle V Jack, MD
208 Scranton Connector, Suite 117,
Brunswick, GA 31525

Ph: (912) 264-5961		Dr Avanelle V Jack, MD
208 Scranton Connector Ste 117,
Brunswick, GA 31525-0560

Ph: (912) 264-5961

Reviews and Comments


Internal Medicine Doctors in Brunswick, GA

Avery Wade Strickland, M.D.
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Practice Location: 2500 Starling St, Suite #404, Brunswick, GA 31520
Phone: 912-264-1520    Fax: 912-264-1526
William George Grubb, MD
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Practice Location: 3025 Shrine Rd, Suite 450, Brunswick, GA 31520
Phone: 912-264-6133    Fax: 912-267-1415
Viagnehy Fernandez, M.D.
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Practice Location: 2415 Parkwood Dr, Brunswick, GA 31520
Phone: 912-466-7188    Fax: 912-466-7185
Jordan Ahnert, APRN
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Practice Location: 3226 Hampton Ave Ste A, Brunswick, GA 31520
Phone: 912-264-0760    
Marsha J Certain, M.D.
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Practice Location: 2500 Starling St, Suite #404, Brunswick, GA 31520
Phone: 912-264-1520    Fax: 912-264-1526
Mrs. Margaret Stoakes Tuten, FNPC, CDE
Nephrology
Medicare: Not Enrolled in Medicare
Practice Location: 2500 Starling St, Suite 605, Brunswick, GA 31520
Phone: 912-466-5601    Fax: 912-466-5613
Abhishek Bhurwal, MD
Nephrology
Medicare: Accepting Medicare Assignments
Practice Location: 3217 4th St, Brunswick, GA 31520
Phone: 912-466-4200    

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.

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