Jasmine Nichole Jack, MD in Dallas, TX

Jasmine Nichole Jack, MD is a medicare enrolled "Psychiatry & Neurology - Psychiatry" physician in Dallas, Texas. She graduated from medical school in 2021 and has 5 years of diverse experience with area of expertise as Psychiatry. She is a member of the group practice Mass General Brigham Medical Group Suburban Massachusetts Inc and her current practice location is 5323 Harry Hines Blvd, Dallas, Texas. You can reach out to her office (for appointments etc.) via phone at (214) 648-3111.

Jasmine Nichole Jack is licensed to practice in Georgia (license number 113223) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1437737392.

Contact Information

	Jasmine Nichole Jack, MD
	5323 Harry Hines Blvd, Dallas, TX 75390-7201
	(214) 648-3111
	Not Available

Map and Direction

Physician's Profile

Full Name	Jasmine Nichole Jack
Gender	Female
Speciality	Psychiatry
Experience	5 Years
Location	5323 Harry Hines Blvd, Dallas, Texas
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Jasmine Nichole Jack graduated from medical school in 2021

NPI Data:

NPI Number: 1437737392
Provider Enumeration Date: 03/31/2021
Last Update Date: 07/09/2026

Medicare PECOS Information:

PECOS PAC ID: 8921537556
Enrollment ID: I20250128002903

Medical Identifiers

Medical identifiers for Jasmine Nichole Jack such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1437737392	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
2084P0800X	Psychiatry & Neurology - Psychiatry	113223 (Georgia)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Mass General Brigham Medical Group Suburban Massachusetts Inc	0244133494	534

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. Jasmine Nichole Jack allows following entities to bill medicare on her behalf.

Entity Name	Mass General Brigham Medical Group Suburban Massachusetts Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1538191218 PECOS PAC ID: 0244133494 Enrollment ID: O20040127001012

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. Jasmine Nichole Jack 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
Jasmine Nichole Jack, MD 20 Herrell Rd, Villa Rica, GA 30180-5527 Ph: (770) 812-3530	Jasmine Nichole Jack, MD 5323 Harry Hines Blvd, Dallas, TX 75390-7201 Ph: (214) 648-3111

Reviews and Comments

Psychiatry & Neurology Doctors in Dallas, TX

Shirali Patel, M.D. Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 6363 Forest Park Road 7th Floor Suite749, Dallas, TX 75390 Phone: 214-645-8500 Fax: 214-645-3775
Mr. Jonathan Devries, D.O. Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 6201 Harry Hines Blvd, Dallas, TX 75390 Phone: 214-633-0580
Abdullah Shoaib, M.D. Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 6201 Harry Hines Blvd, Dallas, TX 75390 Phone: 214-648-3916 Fax: 214-648-3916
Michael R Rosenthal, MD Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 8210 Walnut Hill Ln, #619, Dallas, TX 75231 Phone: 214-345-5630 Fax: 214-345-5632
Steve A Roche, MD Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 12850 Hillcrest Rd, Suite F-206, Dallas, TX 75230 Phone: 972-404-8253 Fax: 972-701-0874
Catherine Karni, MD Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 5323 Harry Hines Blvd, Dallas, TX 75390 Phone: 214-456-5900
Dr. William Robert Olmsted, M.D. Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 8330 Meadow Rd, Ste 114, Dallas, TX 75231 Phone: 214-878-7442 Fax: 214-750-1971

Jasmine Nichole Jack, MD - Medicare Psychiatry in Dallas, TX