Dr Mohamed S El-jack, is a
Urology physician based in Marinette, Wisconsin. Dr Mohamed S El-jack is licensed to practice in Wisconsin (license number 44615) and his current practice location is 3003 University Dr Ste 301, Marinette, Wisconsin. He can be reached at his office (for appointments etc.) via phone at
(715) 732-8491.
NPI number for Dr Mohamed S El-jack is 1538260005 and his current mailing address is 3003 University Dr, Marinette, Wisconsin. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1538260005.
Physician's Profile
| Full Name | Dr Mohamed S El-jack |
|---|
| Gender | Male |
|---|
| Speciality | Urology |
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| Location | 3003 University Dr Ste 301, Marinette, Wisconsin |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1538260005
- Provider Enumeration Date: 09/26/2006
- Last Update Date: 03/07/2023
Medical Identifiers
Medical identifiers for Dr Mohamed S El-jack such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1538260005 | NPI | - | NPPES |
| 34272500 | Medicaid | WI | |
| 104434930 | Medicaid | MI | |
| 1538260005 | Medicaid | WI | |
| 1538260005 | Medicaid | MI | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 208800000X | Urology | 44615 (Wisconsin) | 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 Mohamed S El-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 Address | Practice Location Address |
|---|
Dr Mohamed S El-jack,
3003 University Dr,
Marinette, WI 54143-4110
Ph: (715) 735-4200 | Dr Mohamed S El-jack,
3003 University Dr Ste 301,
Marinette, WI 54143
Ph: (715) 732-8491 |
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