Benjamin Jack, DO - Pediatrics in Fort Stewart, GA

Benjamin Jack, DO is a Pediatrics physician based in Fort Stewart, Georgia. Benjamin Jack is licensed to practice in Virginia (license number 0102206835) and his current practice location is 1061 Harmon Ave, Fort Stewart, Georgia. He can be reached at his office (for appointments etc.) via phone at (912) 435-6965.

NPI number for Benjamin Jack is 1386279420 and his current mailing address is 1061 Harmon Ave, Fort Stewart, Georgia. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1386279420.

Contact Information

Benjamin Jack, DO
1061 Harmon Ave,
Fort Stewart, GA 31314-5641
(912) 435-6965
Not Available



Physician's Profile

Full NameBenjamin Jack
GenderMale
SpecialityPediatrics
Location1061 Harmon Ave, Fort Stewart, Georgia
Accepts Medicare AssignmentsDoes not participate in Medicare Program. He may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1386279420
  • Provider Enumeration Date: 03/10/2020
  • Last Update Date: 06/21/2023

Medical Identifiers

Medical identifiers for Benjamin Jack such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1386279420NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
208000000XPediatrics 0102206835 (Virginia)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. Benjamin Jack 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 AddressPractice Location Address
Benjamin Jack, DO
1061 Harmon Ave,
Fort Stewart, GA 31314-5641

Ph: (912) 435-6965
Benjamin Jack, DO
1061 Harmon Ave,
Fort Stewart, GA 31314-5641

Ph: (912) 435-6965

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Pediatrics Doctors in Fort Stewart, GA

Dr. Richard Eden Kauff, M.D.
Pediatrics
Medicare: Not Enrolled in Medicare
Practice Location: 1061 Harmon Ave, Suite 1d03, Fort Stewart, GA 31314
Phone: 912-435-5555    
Dr. Matthew James Fults, D.O.
Pediatrics
Medicare: Medicare Enrolled
Practice Location: 1061 Harmon Ave, Fort Stewart, GA 31314
Phone: 912-435-5687    
Jose A Hernandez, M.D.
Pediatrics
Medicare: Not Enrolled in Medicare
Practice Location: 1061 Harmon Ave, Ste 1d03, Fort Stewart, GA 31314
Phone: 912-435-6819    
Dr. Tometricia Brown,
Pediatrics
Medicare: Not Enrolled in Medicare
Practice Location: 1061 Harmon Ave, Fort Stewart, GA 31314
Phone: 912-435-6965    
Dr. Charity Omejiyovbi Akpolo, M.D.
Pediatrics
Medicare: Not Enrolled in Medicare
Practice Location: 1061 Harmon Ave, Fort Stewart, GA 31314
Phone: 912-435-5555    Fax: 912-435-5954
German Rene Gonzalez Ramos, MD
Pediatrics
Medicare: Not Enrolled in Medicare
Practice Location: 1061 Harmon Avenue, Fort Stewart, GA 31314
Phone: 912-435-5555    

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