Emily Jack, MD - Medicare Family Practice in Heppner, OR

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Emily Jack, MD is a medicare enrolled "Family Medicine" physician in Heppner, Oregon. She went to Oregon Health Sciences University School Of Medicine and graduated in 2019 and has 7 years of diverse experience with area of expertise as Family Practice. She is a member of the group practice St Anthony Hospital and her current practice location is 130 Thompson St, Heppner, Oregon. You can reach out to her office (for appointments etc.) via phone at (541) 676-5504.

Emily Jack is licensed to practice in Oregon (license number MD211954) 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 1275197691.

Contact Information

Emily Jack, MD
130 Thompson St,
Heppner, OR 97836-7325
(541) 676-5504
(541) 676-8247

Map and Direction




Physician's Profile

Full NameEmily Jack
GenderFemale
SpecialityFamily Practice
Experience7 Years
Location130 Thompson St, Heppner, Oregon
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:
  • Emily Jack attended and graduated from Oregon Health Sciences University School Of Medicine in 2019
  NPI Data:
  • NPI Number: 1275197691
  • Provider Enumeration Date: 05/01/2019
  • Last Update Date: 12/02/2025
  Medicare PECOS Information:
  • PECOS PAC ID: 6507193042
  • Enrollment ID: I20221115002877

Medical Identifiers

Medical identifiers for Emily Jack such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1275197691NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine MD211954 (Oregon)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Good Shepherd Home HealthHermiston, ORHome health agency
St Anthony HospitalPendleton, ORHospital
Pioneer Memorial Hospital (heppner)Heppner, ORHospital

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. Emily Jack allows following entities to bill medicare on her behalf.
Entity NameCounty Of Morrow
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1952302689
PECOS PAC ID: 3072416437
Enrollment ID: O20040202000124
Entity NameSt Anthony Hospital
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1831169903
PECOS PAC ID: 3678568268
Enrollment ID: O20040414001635

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. Emily 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
Emily Jack, MD
Po Box 9,
Heppner, OR 97836-0009

Ph: (541) 676-5504		Emily Jack, MD
130 Thompson St,
Heppner, OR 97836-7325

Ph: (541) 676-5504

Reviews and Comments


Family Medicine Doctors in Heppner, OR

Dr. Kenneth Fred Wenberg, M.D.
Family Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 274 N Main Street, Heppner, OR 97836
Phone: 541-676-5440    Fax: 541-676-8036
Russel James Nichols, MD
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 130 Thompson Avenue, Heppner, OR 97836
Phone: 541-676-5504    Fax: 541-676-8247

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.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.