Jon Phillip Wack, MD - Radiology in San Francisco, CA

Jon Phillip Wack, MD is a Radiology - Diagnostic Radiology physician based in San Francisco, California. Jon Phillip Wack is licensed to practice in California (license number A23313) and his current practice location is 3700 California St, San Francisco, California. He can be reached at his office (for appointments etc.) via phone at (415) 750-6025.

NPI number for Jon Phillip Wack is 1609819622 and his current mailing address is P.o. Box 6102, Novato, California. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1609819622.

Contact Information

Jon Phillip Wack, MD
3700 California St,
San Francisco, CA 94118-1618
(415) 750-6025
Not Available

Map and Direction




Physician's Profile

Full NameJon Phillip Wack
GenderMale
SpecialityRadiology - Diagnostic Radiology
Location3700 California St, San Francisco, California
Accepts Medicare AssignmentsDoes not participate in Medicare Program. He may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1609819622
  • Provider Enumeration Date: 06/14/2006
  • Last Update Date: 02/05/2009

Medical Identifiers

Medical identifiers for Jon Phillip Wack such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1609819622NPI-NPPES
1609819622MedicaidNV
300134151OtherCARAILROAD MEDICARE
00A233130MedicaidCA

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
2085R0202XRadiology - Diagnostic Radiology A23313 (California)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. Jon Phillip Wack 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
Jon Phillip Wack, MD
P.o. Box 6102,
Novato, CA 94948-6102

Ph: (415) 884-3418
Jon Phillip Wack, MD
3700 California St,
San Francisco, CA 94118-1618

Ph: (415) 750-6025

Reviews and Comments


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