Melinda Kristine Jack, MD is a medicare enrolled "Colon & Rectal Surgery" physician in Columbus, Ohio. She went to University Of Cincinnati College Of Medicine and graduated in 2004 and has 20 years of diverse experience with area of expertise as General Surgery. She is a member of the group practice Ohiohealth Corporation and her current practice location is
5965 E Broad St, Suite 120, Columbus, Ohio. You can reach out to her office (for appointments etc.) via phone at
(614) 864-1000.
Melinda Kristine Jack is licensed to practice in Ohio (license number 35-088654) 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 1760543177.
Physician's Profile
| Full Name | Melinda Kristine Jack |
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| Gender | Female |
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| Speciality | General Surgery |
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| Experience | 20 Years |
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| Location | 5965 E Broad St, Columbus, Ohio |
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| Accepts Medicare Assignments | Yes. She 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:
- Melinda Kristine Jack attended and graduated from University Of Cincinnati College Of Medicine in 2004
NPI Data:
- NPI Number: 1760543177
- Provider Enumeration Date: 12/12/2006
- Last Update Date: 01/05/2022
Medicare PECOS Information:
- PECOS PAC ID: 0244335941
- Enrollment ID: I20070424000548
Medical Identifiers
Medical identifiers for Melinda Kristine Jack such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1760543177 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 208600000X | Surgery | 35088654 (Ohio) | Secondary |
| 208C00000X | Colon & Rectal Surgery | 35-088654 (Ohio) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Ohiohealth Corporation | 6305758426 | 1900 |
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. Melinda Kristine Jack allows following entities to bill medicare on her behalf.
| Entity Name | Ohiohealth Corporation |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1578545273
PECOS PAC ID: 6305758426
Enrollment ID: O20031105000532 |
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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. Melinda Kristine 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 |
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Melinda Kristine Jack, MD
5965 E Broad St, Suite 120,
Columbus, OH 43213-1562
Ph: (614) 864-1000 | Melinda Kristine Jack, MD
5965 E Broad St, Suite 120,
Columbus, OH 43213-1562
Ph: (614) 864-1000 |
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