Dr Jack Henry Eberhart, MD is a
Otolaryngology - Otolaryngic Allergy physician based in Farmington, New Mexico. Dr Jack Henry Eberhart is licensed to practice in New Mexico (license number 97-223) and his current practice location is 2300 E 30th St, Bldg D-102, Farmington, New Mexico. He can be reached at his office (for appointments etc.) via phone at
(505) 327-4429.
NPI number for Dr Jack Henry Eberhart is 1215969860 and his current mailing address is 2300 E 30th St, Bldg D-102, Farmington, New Mexico. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1215969860.
Physician's Profile
| Full Name | Dr Jack Henry Eberhart |
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| Gender | Male |
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| Speciality | Otolaryngology - Otolaryngic Allergy |
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| Location | 2300 E 30th St, Farmington, New Mexico |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
NPI Data:
- NPI Number: 1215969860
- Provider Enumeration Date: 07/06/2006
- Last Update Date: 09/11/2025
Medical Identifiers
Medical identifiers for Dr Jack Henry Eberhart such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1215969860 | NPI | - | NPPES |
| R7435 | Medicaid | NM | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 207YX0007X | Otolaryngology - Plastic Surgery Within The Head & Neck | 97-223 (New Mexico) | Secondary |
| 207YX0602X | Otolaryngology - Otolaryngic Allergy | 97-223 (New Mexico) | 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. Dr Jack Henry Eberhart 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 Address | Practice Location Address |
Dr Jack Henry Eberhart, MD 2300 E 30th St, Bldg D-102, Farmington, NM 87401-8990 Ph: (505) 327-4429 | Dr Jack Henry Eberhart, MD 2300 E 30th St, Bldg D-102, Farmington, NM 87401-8990 Ph: (505) 327-4429 |
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