Jack S Mo, MD in Seattle, WA - Medicare Family Medicine

Jack S Mo, MD is a medicare enrolled "Family Medicine" physician in Seattle, Washington. His current practice location is 314 Ne Thornton Pl, Seattle, Washington. You can reach out to his office (for appointments etc.) via phone at (206) 520-5000.

Jack S Mo is licensed to practice in Washington (license number MD61312934) 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 1205397270.

Contact Information

	Jack S Mo, MD
	314 Ne Thornton Pl, Seattle, WA 98125-9000
	(206) 520-5000
	Not Available

Map and Direction

Physician's Profile

Full Name	Jack S Mo
Gender	Male
Speciality	Family Medicine
Location	314 Ne Thornton Pl, Seattle, Washington
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1205397270
Provider Enumeration Date: 03/30/2019
Last Update Date: 07/11/2022

Medicare PECOS Information:

PECOS PAC ID: 0840524013
Enrollment ID: I20220721002789

Medical Identifiers

Medical identifiers for Jack S Mo such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1205397270	NPI	-	NPPES
1205397270	Medicaid	WA

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207Q00000X	Family Medicine	MD61312934 (Washington)	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 S Mo allows following entities to bill medicare on his behalf.

Entity Name	The Association Of University Physicians
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1023041159 PECOS PAC ID: 0446162697 Enrollment ID: O20031105000244

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 S Mo 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 S Mo, MD Po Box 50095, Seattle, WA 98145-5095 Ph: (206) 520-5700	Jack S Mo, MD 314 Ne Thornton Pl, Seattle, WA 98125-9000 Ph: (206) 520-5000

Reviews and Comments

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Michelle K Xu, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 1401 Madison St Ste 100, Seattle, WA 98104 Phone: 206-386-6111 Fax: 206-386-6113

Jack S Mo, MD - Medicare Family Medicine in Seattle, WA