Jack A Dubuque, MD - Medicare Anesthesiology in Salt Lake City, UT

Jack A Dubuque, MD is a medicare enrolled "Anesthesiology" physician in Salt Lake City, Utah. His current practice location is 30 N 1900 E Rm 3c444, Salt Lake City, Utah. You can reach out to his office (for appointments etc.) via phone at (801) 581-3622.

Jack A Dubuque is licensed to practice in Utah (license number 12974673-1205) 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 1104403526.

Contact Information

Jack A Dubuque, MD
30 N 1900 E Rm 3c444,
Salt Lake City, UT 84132-2095
(801) 581-3622
Not Available

Map and Direction




Physician's Profile

Full NameJack A Dubuque
GenderMale
SpecialityAnesthesiology
Location30 N 1900 E Rm 3c444, Salt Lake City, Utah
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1104403526
  • Provider Enumeration Date: 03/24/2021
  • Last Update Date: 08/10/2022
  Medicare PECOS Information:
  • PECOS PAC ID: 2062896020
  • Enrollment ID: I20220825002007

Medical Identifiers

Medical identifiers for Jack A Dubuque such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1104403526NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207L00000XAnesthesiology 12974673-1205 (Utah)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. Jack A Dubuque 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
Jack A Dubuque, MD
30 N 1900 E Rm 3c444,
Salt Lake City, UT 84132-2095

Ph: (801) 581-3622
Jack A Dubuque, MD
30 N 1900 E Rm 3c444,
Salt Lake City, UT 84132-2095

Ph: (801) 581-3622

Reviews and Comments


Anesthesiology Doctors in Salt Lake City, UT

Dr. Anne Wierman Estares, D.O.
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Medicare: Accepting Medicare Assignments
Practice Location: 30 N 1900 E, Rm 4c104, Salt Lake City, UT 84132
Phone: 719-314-5254    
Ashley Nicole Langell, MS, MD
Anesthesiology
Medicare: Medicare Enrolled
Practice Location: 30 N 1900 E Rm 3c444, Salt Lake City, UT 84132
Phone: 801-581-3622    
Dr. Nicole Jeffreys, MD
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Medicare: Medicare Enrolled
Practice Location: 100 Mario Capecchi Dr, Salt Lake City, UT 84113
Phone: 801-662-3578    
Matthew L Peterson, MD
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Medicare: Accepting Medicare Assignments
Practice Location: 1200 E 3900 S, Salt Lake City, UT 84124
Phone: 801-993-9530    Fax: 801-733-5618
Dr. Jeffrey David Dillon, M.D.
Anesthesiology
Medicare: Accepting Medicare Assignments
Practice Location: 30 N 1900 E, Room 3c444, Salt Lake City, UT 84132
Phone: 801-581-6393    Fax: 801-581-4367
Jennifer Jean Davis,
Anesthesiology
Medicare: Accepting Medicare Assignments
Practice Location: 50 N Medical Dr, Salt Lake City, UT 84132
Phone: 801-581-6393    
Dennis L. Morris, MD
Anesthesiology
Medicare: Accepting Medicare Assignments
Practice Location: 1200 E 3900 S, Salt Lake City, UT 84124
Phone: 801-993-9530    Fax: 801-733-5618

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.