Jack Leslie Lock, APRN FNP-BC in Dumas, AR - Medicare Nurse Practitioner

Jack Leslie Lock, APRN FNP-BC is a medicare enrolled "Nurse Practitioner - Family" in Dumas, Arkansas. His current practice location is 811 Highway 65 S, Dumas, Arkansas. You can reach out to his office (for appointments etc.) via phone at (870) 456-3570.

Jack Leslie Lock is licensed to practice in Arkansas (license number A005934) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1265917611.

Contact Information

	Jack Leslie Lock, APRN FNP-BC
	811 Highway 65 S, Dumas, AR 71639-3006
	(870) 456-3570
	Not Available

Map and Direction

Provider's Profile

Full Name	Jack Leslie Lock
Gender	Male
Speciality	Nurse Practitioner - Family
Location	811 Highway 65 S, Dumas, Arkansas
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1265917611
Provider Enumeration Date: 10/02/2018
Last Update Date: 10/18/2018

Medicare PECOS Information:

PECOS PAC ID: 8820487929
Enrollment ID: I20211111000114

Medical Identifiers

Medical identifiers for Jack Leslie Lock such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1265917611	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	A005934 (Arkansas)	Primary

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. Jack Leslie Lock allows following entities to bill medicare on his behalf.

Entity Name	Signify Health Medical Associates Pllc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1750845863 PECOS PAC ID: 2163764424 Enrollment ID: O20190913002365

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. Jack Leslie Lock 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
Jack Leslie Lock, APRN FNP-BC Po Box 95, De Witt, AR 72042-0095 Ph: () -	Jack Leslie Lock, APRN FNP-BC 811 Highway 65 S, Dumas, AR 71639-3006 Ph: (870) 456-3570

Reviews and Comments

Nurse Practitioner Nurses in Dumas, AR

Nicole Garth, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 103 W Waterman St, Dumas, AR 71639 Phone: 870-382-0305
Tonia R Dixon, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 145 W Waterman St, Dumas, AR 71639 Phone: 870-382-3308
Carol L O'neal, ANP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 161 S Main St, Dumas, AR 71639 Phone: 870-382-4878 Fax: 870-382-4895
Mrs. Leslie Leanne Roberts, APRN-FNP C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 105 Carlton Dr, Dumas, AR 71639 Phone: 870-377-4295
Thomas M Lowman, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 145 W Waterman St, Dumas, AR 71639 Phone: 870-382-4878 Fax: 870-382-4895
Angela Latrice Anderson, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 145 W Waterman St, Dumas, AR 71639 Phone: 870-382-4878 Fax: 870-382-4895

Jack Leslie Lock, APRN FNP-BC - Medicare Nurse Practitioner in Dumas, AR