Jack R Pence Ii, MD - Urology in Beavercreek, OH

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Jack R Pence Ii, MD is a Urology physician based in Beavercreek, Ohio. Jack R Pence Ii is licensed to practice in Ohio (license number 35043064P) and his current practice location is 1911 N Fairfield Rd, Suite 300, Beavercreek, Ohio. He can be reached at his office (for appointments etc.) via phone at (937) 429-7352.

NPI number for Jack R Pence Ii is 1851399414 and his current mailing address is 6680 Poe Ave, Suite 200, Dayton, Ohio. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1851399414.

Contact Information

Jack R Pence Ii, MD
1911 N Fairfield Rd, Suite 300,
Beavercreek, OH 45432-2762
(937) 429-7352
(937) 429-3772

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Physician's Profile

Full NameJack R Pence Ii
GenderMale
SpecialityUrology
Location1911 N Fairfield Rd, Beavercreek, Ohio
Accepts Medicare AssignmentsDoes not participate in Medicare Program. He may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1851399414
  • Provider Enumeration Date: 07/08/2005
  • Last Update Date: 03/17/2014

Medical Identifiers

Medical identifiers for Jack R Pence Ii such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1851399414NPI-NPPES
0622857MedicaidOH

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
208800000XUrology 35-043064 (Ohio)Secondary
208800000XUrology 35043064 (Ohio)Secondary
208800000XUrology 35043064P (Ohio)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 R Pence Ii is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Jack R Pence Ii, MD
6680 Poe Ave, Suite 200,
Dayton, OH 45414-2854

Ph: (937) 280-8366		Jack R Pence Ii, MD
1911 N Fairfield Rd, Suite 300,
Beavercreek, OH 45432-2762

Ph: (937) 429-7352

Reviews and Comments


Urology Doctors in Beavercreek, OH

Nicholas Beecroft,
Urology
Medicare: Accepting Medicare Assignments
Practice Location: 2365 Lakeview Dr Ste C, Beavercreek, OH 45431
Phone: 937-342-9260    Fax: 937-342-9262

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.