Jason M Zack, MD is a medicare enrolled "Dermatology" physician in Fort Leonard Wood, Missouri. He graduated from medical school in 2014 and has 12 years of diverse experience with area of expertise as Dermatology. He is a member of the group practice Winneshiek Medical Center and his current practice location is
4430 Missouri Ave, Fort Leonard Wood, Missouri. You can reach out to his office (for appointments etc.) via phone at
(573) 596-1769.
Jason M Zack is licensed to practice in Virginia (license number 0101259277) 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 1255745691.
Physician's Profile
| Full Name | Jason M Zack |
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| Gender | Male |
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| Speciality | Dermatology |
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| Experience | 12 Years |
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| Location | 4430 Missouri Ave, Fort Leonard Wood, Missouri |
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| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Jason M Zack graduated from medical school in 2014
NPI Data:
- NPI Number: 1255745691
- Provider Enumeration Date: 06/13/2014
- Last Update Date: 01/30/2025
Medicare PECOS Information:
- PECOS PAC ID: 2668877572
- Enrollment ID: I20250414000691
Medical Identifiers
Medical identifiers for Jason M Zack such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1255745691 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207N00000X | Dermatology | MD53344 (Iowa) | Secondary |
| 207N00000X | Dermatology | 0101259277 (Virginia) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Winneshiek Medical Center | 4688582935 | 97 |
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. Jason M Zack allows following entities to bill medicare on his behalf.
| Entity Name | Winneshiek Medical Center |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1992854863
PECOS PAC ID: 4688582935
Enrollment ID: O20040316001437 |
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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. Jason M Zack 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 |
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Jason M Zack, MD
4430 Missouri Ave,
Fort Leonard Wood, MO 65473-9098
Ph: (573) 596-1769 | Jason M Zack, MD
4430 Missouri Ave,
Fort Leonard Wood, MO 65473-9098
Ph: (573) 596-1769 |
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