Jack D Vick, MD in Fort Sumner, NM - Medicare Family Practice

Jack D Vick, MD is a medicare enrolled "Family Medicine" physician in Fort Sumner, New Mexico. He went to University Of New Mexico School Of Medicine and graduated in 1991 and has 33 years of diverse experience with area of expertise as Family Practice. He is a member of the group practice De Baca Family Practice Clinic and his current practice location is 546 N. 10th Street, Fort Sumner, New Mexico. You can reach out to his office (for appointments etc.) via phone at (575) 355-2414.

Jack D Vick is licensed to practice in New Mexico (license number 92371) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1538242219.

Contact Information

	Jack D Vick, MD
	546 N. 10th Street, Fort Sumner, NM 88119-0349
	(575) 355-2414
	(575) 355-7894

Map and Direction

Physician's Profile

Full Name	Jack D Vick
Gender	Male
Speciality	Family Practice
Experience	33 Years
Location	546 N. 10th Street, Fort Sumner, New Mexico
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Jack D Vick attended and graduated from University Of New Mexico School Of Medicine in 1991

NPI Data:

NPI Number: 1538242219
Provider Enumeration Date: 10/24/2006
Last Update Date: 05/19/2009

Medicare PECOS Information:

PECOS PAC ID: 1254233695
Enrollment ID: I20040124000417

Medical Identifiers

Medical identifiers for Jack D Vick such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1538242219	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207Q00000X	Family Medicine	92371 (New Mexico)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Interim Healthcare	Clovis, NM	Home health agency
Plains Regional Medical Center	Clovis, NM	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
De Baca Family Practice Clinic	6406758358	6

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. Jack D Vick allows following entities to bill medicare on his behalf.

Entity Name	De Baca Family Practice Clinic
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1003855032 PECOS PAC ID: 6406758358 Enrollment ID: O20040122000409

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 D Vick 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
Jack D Vick, MD Po Box 349, Fort Sumner, NM 88119-0349 Ph: (575) 355-2414	Jack D Vick, MD 546 N. 10th Street, Fort Sumner, NM 88119-0349 Ph: (575) 355-2414

Reviews and Comments

Family Medicine Doctors in Fort Sumner, NM

Carolyn Kay Caraway, FNP
Family Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 546 N. 10th St., Fort Sumner, NM 88119
Phone: 575-355-2414 Fax: 575-355-7894

Jack D Vick, MD - Medicare Family Practice in Fort Sumner, NM