Dr Jack Everett Gross, EDD - Medicare Pharmacist in Concord, NC

Dr Jack Everett Gross, EDD is a medicare enrolled "Psychologist - Clinical" provider in Concord, North Carolina. His current practice location is 101 Cabarrus Ave E, Concord, North Carolina. You can reach out to his office (for appointments etc.) via phone at (888) 849-7379.

Dr Jack Everett Gross is licensed to practice in North Carolina (license number 1738) 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 1356632582.

Contact Information

Dr Jack Everett Gross, EDD
101 Cabarrus Ave E,
Concord, NC 28025-3699
(888) 849-7379
(855) 857-7333

Map and Direction


Healthcare Provider's Profile

Full NameDr Jack Everett Gross
GenderMale
SpecialityPsychologist - Clinical
Location101 Cabarrus Ave E, Concord, North Carolina
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1356632582
  • Provider Enumeration Date: 04/21/2011
  • Last Update Date: 12/16/2019
  Medicare PECOS Information:
  • PECOS PAC ID: 5890929004
  • Enrollment ID: I20131002000235

Medical Identifiers

Medical identifiers for Dr Jack Everett Gross such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1356632582NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
183500000XPharmacist 13823 (North Carolina)Secondary
103TC0700XPsychologist - Clinical 1738 (North Carolina)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. Dr Jack Everett Gross allows following entities to bill medicare on his behalf.
Entity NameOnsite Care Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1912338328
PECOS PAC ID: 7012149222
Enrollment ID: O20140422000656

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 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
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

Reviews and Comments


Psychologist in Concord, NC


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.