Dr Jack Everett Gross, EDD is a
Psychologist - Clinical based in Concord, North Carolina. Dr Jack Everett Gross is licensed to practice in North Carolina (license number 1738) and his current practice location is
101 Cabarrus Ave E, Concord, North Carolina. He can be reached at his office (for appointments etc.) via phone at
(888) 849-7379.
NPI number for Dr Jack Everett Gross is 1356632582 and his current mailing address is 101 Cabarrus Ave E, Concord, North Carolina. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1356632582.
Healthcare Provider's Profile
| Full Name | Dr Jack Everett Gross |
|---|
| Gender | Male |
|---|
| Speciality | Psychologist - Clinical |
|---|
| Location | 101 Cabarrus Ave E, Concord, North Carolina |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1356632582
- Provider Enumeration Date: 04/21/2011
- Last Update Date: 12/16/2019
Medical Identifiers
Medical identifiers for Dr Jack Everett Gross such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1356632582 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 183500000X | Pharmacist | 13823 (North Carolina) | Secondary |
| 103TC0700X | Psychologist - Clinical | 1738 (North Carolina) | 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. Dr Jack Everett Gross 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 Address | Practice Location Address |
|---|
Dr Jack Everett Gross, EDD
101 Cabarrus Ave E,
Concord, NC 28025-3699
Ph: (888) 849-7379 | Dr Jack Everett Gross, EDD
101 Cabarrus Ave E,
Concord, NC 28025-3699
Ph: (888) 849-7379 |
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