| Jason Pack, MD | |
|
2825 Parklawn Dr, Radiology Dept., Midwest City, OK 73110-4201 | |
| (405) 610-8398 | |
| Not Available |
| Full Name | Jason Pack |
|---|---|
| Gender | Male |
| Speciality | Diagnostic Radiology |
| Experience | 24 Years |
| Location | 2825 Parklawn Dr, Midwest City, Oklahoma |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1861549743 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2085R0202X | Radiology - Diagnostic Radiology | 22587 (Oklahoma) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Norman Regional | Norman, OK | Hospital |
| Northeastern Health System | Tahlequah, OK | Hospital |
| Great Plains Regional Medical Center | Elk city, OK | Hospital |
| Saint Francis Hospital Muskogee | Muskogee, OK | Hospital |
| Purcell Municipal Hospital | Purcell, OK | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Choctaw Nation Of Oklahoma | 1759294838 | 254 |
| El Reno Indian Health Center | 5193627263 | 21 |
| Creek Nation Hospital And Clinics | 5698786226 | 322 |
| Cherokee Nation | 5799698742 | 369 |
| Nrhs Radiology Associates | 2668555731 | 58 |
| Creek Nation Hospital And Clinics | 5698786226 | 322 |
| Diagnostic Imaging Associates Inc | 8820083645 | 70 |
| Entity Name | Taos Picuris Health Center |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1548372071 PECOS PAC ID: 5193638245 Enrollment ID: O20031106000188 |
| Entity Name | Choctaw Nation Of Oklahoma |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1659347623 PECOS PAC ID: 1759294838 Enrollment ID: O20031106000326 |
| Entity Name | Cherokee Nation |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1780692723 PECOS PAC ID: 5799698742 Enrollment ID: O20031106000628 |
| Entity Name | Zuni Indian Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1497843734 PECOS PAC ID: 5698689644 Enrollment ID: O20031114000284 |
| Entity Name | Albuquerque Indian Health Center |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1659458917 PECOS PAC ID: 7719883164 Enrollment ID: O20031208001026 |
| Entity Name | Claremore Indian Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1073527842 PECOS PAC ID: 9436069911 Enrollment ID: O20031210001104 |
| Entity Name | Pine Ridge Indian Health Service Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1497786412 PECOS PAC ID: 4688571326 Enrollment ID: O20031218000966 |
| Entity Name | Watonga Indian Health Center |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1558458794 PECOS PAC ID: 9032010111 Enrollment ID: O20040120001001 |
| Entity Name | El Reno Indian Health Center |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1386725604 PECOS PAC ID: 5193627263 Enrollment ID: O20040121000487 |
| Entity Name | Clinton Indian Health Center |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1205923448 PECOS PAC ID: 2163324237 Enrollment ID: O20040121000506 |
| Entity Name | Eagle Butte Indian Health Service Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1558395848 PECOS PAC ID: 7517852759 Enrollment ID: O20040217001024 |
| Entity Name | Pawnee Indian Health Center |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1629174081 PECOS PAC ID: 2769470160 Enrollment ID: O20040504001225 |
| Entity Name | Wewoka Indian Health |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1689664195 PECOS PAC ID: 7517911415 Enrollment ID: O20050303000367 |
| Entity Name | Lawton Indian Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1760489223 PECOS PAC ID: 6406800234 Enrollment ID: O20050304000301 |
| Entity Name | Anadarko Indian Health Center |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1881637403 PECOS PAC ID: 7719931559 Enrollment ID: O20050304000365 |
| Entity Name | Memorial Mri And Diagnostic Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1912989120 PECOS PAC ID: 6507859568 Enrollment ID: O20051209000488 |
| Entity Name | North Star Mri Of Frisco Lp |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1649356759 PECOS PAC ID: 2769574854 Enrollment ID: O20070821000328 |
| Entity Name | Carnegie Indian Health Center |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1457459158 PECOS PAC ID: 1456456144 Enrollment ID: O20071217000184 |
| Entity Name | North Star Mcd Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1063712461 PECOS PAC ID: 2668659434 Enrollment ID: O20110602000702 |
| Entity Name | North Star Fm Lp |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1174812028 PECOS PAC ID: 1153591763 Enrollment ID: O20110908001884 |
| Entity Name | Eagle Partners Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1548450976 PECOS PAC ID: 9032205752 Enrollment ID: O20121031000252 |
| Entity Name | North Star Cn Lp |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1013305945 PECOS PAC ID: 0547589376 Enrollment ID: O20150429001555 |
| Entity Name | North Star Npt Lp |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1699387647 PECOS PAC ID: 8426468265 Enrollment ID: O20201105000633 |
| Entity Name | Creek Nation Hospital & Clinics |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1467053173 PECOS PAC ID: 5698786226 Enrollment ID: O20210226001928 |
| Mailing Address | Practice Location Address |
|---|---|
| Jason Pack, MD Po Box 720778, Norman, OK 73070-4602 Ph: (405) 535-7669 | Jason Pack, MD 2825 Parklawn Dr, Radiology Dept., Midwest City, OK 73110-4201 Ph: (405) 610-8398 |
Bart Michael-lane Rowlett, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 2825 Parklawn Dr, Radiology Dept., Midwest City, OK 73110 Phone: 405-610-8938 | |
Laura M Young, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 2825 Parklawn Dr, Radiology Dept., Midwest City, OK 73110 Phone: 405-610-8398 | |
Christopher H Bozarth, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 230 N Midwest Blvd, Midwest City, OK 73110 Phone: 405-737-8455 Fax: 405-739-8707 | |
Alfred C Degner, MD Radiology Medicare: Medicare Enrolled Practice Location: 2825 Parklawn Dr, Radiology Dept., Midwest City, OK 73110 Phone: 405-610-8398 | |
Gregory Campbell, MD Radiology Medicare: Not Enrolled in Medicare Practice Location: 2825 Parklawn Dr, Radiology Dept., Midwest City, OK 73110 Phone: 405-610-8398 |