Jack Everett Hay, DO is a medicare enrolled "Integrative Medicine" physician in Oberlin, Ohio. His current practice location is
530 S Main St, Oberlin, Ohio. You can reach out to his office (for appointments etc.) via phone at
(440) 707-6247.
Jack Everett Hay is licensed to practice in Ohio (license number 34008419) 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 1780661835.
Physician's Profile
| Full Name | Jack Everett Hay |
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| Gender | Male |
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| Speciality | Integrative Medicine |
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| Location | 530 S Main St, Oberlin, Ohio |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1780661835
- Provider Enumeration Date: 12/29/2005
- Last Update Date: 06/05/2025
Medicare PECOS Information:
- PECOS PAC ID: 6800816778
- Enrollment ID: I20051207000189
Medical Identifiers
Medical identifiers for Jack Everett Hay such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1780661835 | NPI | - | NPPES |
| 2612908 | Medicaid | OH | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 207P00000X | Emergency Medicine | 34008419 (Ohio) | Secondary |
| 202D00000X | Integrative Medicine | 34008419 (Ohio) | 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. Jack Everett Hay allows following entities to bill medicare on his behalf.
| Entity Name | The Cleveland Clinic Foundation |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1679525919
PECOS PAC ID: 1850203555
Enrollment ID: O20031103000049 |
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| Entity Name | Emergency Professional Services, Inc. |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1093762353
PECOS PAC ID: 7214832435
Enrollment ID: O20040511000864 |
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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 Everett Hay 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 Everett Hay, DO
530 S Main St,
Oberlin, OH 44074-1743
Ph: (440) 707-6247 | Jack Everett Hay, DO
530 S Main St,
Oberlin, OH 44074-1743
Ph: (440) 707-6247 |
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