Jack Monroe Visca, - Medicare Physician Assistant in Crossville, TN

Jack Monroe Visca, is a medicare enrolled "Physician Assistant - Surgical" in Crossville, Tennessee. He graduated from nursing school in 2025 and has 1 years of diverse experience with area of expertise as Physician Assistant. His current practice location is 49 Cleveland St Ste 350, Crossville, Tennessee. You can reach out to his office (for appointments etc.) via phone at (931) 459-7720.

Jack Monroe Visca is licensed to practice in Tennessee (license number 7121) and he also participates in the medicare program. He may accept medicare assignments (which means he may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance) and his NPI Number is 1710829742.

Contact Information

Jack Monroe Visca,
49 Cleveland St Ste 350,
Crossville, TN 38555-2898
(931) 459-7720
Not Available

Map and Direction




Provider's Profile

Full NameJack Monroe Visca
GenderMale
SpecialityPhysician Assistant
Experience1 Years
Location49 Cleveland St Ste 350, Crossville, Tennessee
Accepts Medicare AssignmentsMay be. He may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Jack Monroe Visca graduated from nursing school in 2025
  NPI Data:
  • NPI Number: 1710829742
  • Provider Enumeration Date: 04/08/2026
  • Last Update Date: 05/04/2026
  Medicare PECOS Information:
  • PECOS PAC ID: 7911477385
  • Enrollment ID: I20260527000864

Medical Identifiers

Medical identifiers for Jack Monroe Visca such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1710829742NPI-NPPES
Q112201MedicaidTN

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363AS0400XPhysician Assistant - Surgical 7121 (Tennessee)Primary
363AM0700XPhysician Assistant - Medical 7121 (Tennessee)Secondary

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 Monroe Visca 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 AddressPractice Location Address
Jack Monroe Visca,
7331 Cresthill Dr Apt E5,
Knoxville, TN 37919-5918

Ph: (901) 606-9357
Jack Monroe Visca,
49 Cleveland St Ste 350,
Crossville, TN 38555-2898

Ph: (931) 459-7720

Reviews and Comments


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Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.