Dr Timothy Jack, MD in Baltimore, MD - Medicare Psychiatry & Neurology

Dr Timothy Jack, MD is a medicare enrolled "Psychiatry & Neurology - Psychiatry" physician in Baltimore, Maryland. His current practice location is 1040 Park Ave Ste 200, Baltimore, Maryland. You can reach out to his office (for appointments etc.) via phone at (443) 738-0300.

Dr Timothy Jack is licensed to practice in Maryland (license number D0032712) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1891949723.

Contact Information

	Dr Timothy Jack, MD
	1040 Park Ave Ste 200, Baltimore, MD 21201-5634
	(443) 738-0300
	(443) 738-0301

Map and Direction

Physician's Profile

Full Name	Dr Timothy Jack
Gender	Male
Speciality	Psychiatry & Neurology - Psychiatry
Location	1040 Park Ave Ste 200, Baltimore, Maryland
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1891949723
Provider Enumeration Date: 11/05/2008
Last Update Date: 10/06/2025

Medicare PECOS Information:

PECOS PAC ID: 1658691027
Enrollment ID: I20150527000002

Medical Identifiers

Medical identifiers for Dr Timothy Jack such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1891949723	NPI	-	NPPES
062131500	Medicaid	MD

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
2084P0800X	Psychiatry & Neurology - Psychiatry	D0032712 (Maryland)	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. Dr Timothy Jack allows following entities to bill medicare on his behalf.

Entity Name	County Of Alameda
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1780716381 PECOS PAC ID: 9739070624 Enrollment ID: O20040323001169

Entity Name	Step Up On Second Street, Inc.
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1831228626 PECOS PAC ID: 2264568112 Enrollment ID: O20110715000349

Entity Name	Mindoula Health Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1558843813 PECOS PAC ID: 9335569722 Enrollment ID: O20201023002684

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 Timothy 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 Address	Practice Location Address
Dr Timothy Jack, MD 1040 Park Ave Ste 200, Baltimore, MD 21201-5634 Ph: (443) 738-0300	Dr Timothy Jack, MD 1040 Park Ave Ste 200, Baltimore, MD 21201-5634 Ph: (443) 738-0300

Reviews and Comments

Psychiatry & Neurology Doctors in Baltimore, MD

Dr. Michelle Schnabel Horner, D.O. Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 5500 E Lombard St, Baltimore, MD 21224 Phone: 410-550-0091
Dr. Priscilla Waldo Sheldon, M.D., PH.D. Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 1001 W Pratt St, Baltimore, MD 21223 Phone: 410-962-7180 Fax: 410-962-7194
Haopeng Zheng, MD Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 345 Saint Paul Pl, Baltimore, MD 21202 Phone: 410-332-9000
Ms. Sarah Catherine Collica, Psychiatry & Neurology Medicare: May Accept Medicare Assignments Practice Location: 600 N Wolfe St, Baltimore, MD 21287 Phone: 443-287-4701 Fax: 410-955-0152
Christopher Earley, M.D. Psychiatry & Neurology Medicare: May Accept Medicare Assignments Practice Location: 4940 Eastern Ave, Baltimore, MD 21224 Phone: 410-550-5624
Dr. Elias K Shaya, M.D. Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 5601 Loch Raven Blvd, Rmb 406, Baltimore, MD 21239 Phone: 410-532-4540 Fax: 410-323-6958
Hamilton Moses Iii, M.D. Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 600 N Wolfe Street, The Johns Hopkins Hospital, Baltimore, MD 21287 Phone: 434-984-2016

Dr Timothy Jack, MD - Medicare Psychiatry & Neurology in Baltimore, MD