David Jacks, MD - Medicare Urology in Pine Bluff, AR

David Jacks, MD is a medicare enrolled "Urology" physician in Pine Bluff, Arkansas. He went to University Of Arkansas College Of Medicine and graduated in 1976 and has 48 years of diverse experience with area of expertise as Urology. He is a member of the group practice Central Arkansas Radiation Therapy Institute Inc and his current practice location is 4303 S Mulberry St, Pine Bluff, Arkansas. You can reach out to his office (for appointments etc.) via phone at (870) 535-4221.

David Jacks is licensed to practice in Arkansas (license number C5066) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1093735110.

Contact Information

David Jacks, MD
4303 S Mulberry St,
Pine Bluff, AR 71603-7017
(870) 535-4221
(870) 535-4228



Physician's Profile

Full NameDavid Jacks
GenderMale
SpecialityUrology
Experience48 Years
Location4303 S Mulberry St, Pine Bluff, Arkansas
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • David Jacks attended and graduated from University Of Arkansas College Of Medicine in 1976
  NPI Data:
  • NPI Number: 1093735110
  • Provider Enumeration Date: 07/20/2006
  • Last Update Date: 04/05/2022
  Medicare PECOS Information:
  • PECOS PAC ID: 3779548599
  • Enrollment ID: I20041122000314

Medical Identifiers

Medical identifiers for David Jacks such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1093735110NPI-NPPES
10493001MedicaidAR

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
208800000XUrology C5066 (Arkansas)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Jefferson Regional Medical CenterPine bluff, ARHospital
Delta Memorial HospitalDumas, ARHospital
Bradley County Medical CenterWarren, ARHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Central Arkansas Radiation Therapy Institute Inc781006840072

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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. David Jacks allows following entities to bill medicare on his behalf.
Entity NameCentral Arkansas Radiation Therapy Institute Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1508147810
PECOS PAC ID: 7810068400
Enrollment ID: O20111019000931

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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. David Jacks 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
David Jacks, MD
4303 S Mulberry St,
Pine Bluff, AR 71603-7017

Ph: (870) 535-4221
David Jacks, MD
4303 S Mulberry St,
Pine Bluff, AR 71603-7017

Ph: (870) 535-4221

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Urology Doctors in Pine Bluff, AR

Dr. Dennis W Jacks, M.D.
Urology
Medicare: Not Enrolled in Medicare
Practice Location: 1609 W 40th Ave, Ste 301, Pine Bluff, AR 71603
Phone: 870-536-5162    Fax: 870-536-5198
Dr. David A Lupo, M.D.
Urology
Medicare: Not Enrolled in Medicare
Practice Location: 1609 W 40th Ave, Ste 301, Pine Bluff, AR 71603
Phone: 870-536-5162    Fax: 870-536-5198
Jordan Hanberry, MD
Urology
Medicare: Medicare Enrolled
Practice Location: 1601 W 40th Ave Ste 301c, Pine Bluff, AR 71603
Phone: 870-541-6060    Fax: 870-541-6061
Nathan Green, MD
Urology
Medicare: Medicare Enrolled
Practice Location: 1601 W 40th Ave Ste 301c, Pine Bluff, AR 71603
Phone: 870-541-6060    Fax: 870-541-6061
Dr. Robert Teryl Brooks Jr., M.D.
Urology
Medicare: Not Enrolled in Medicare
Practice Location: 4611 Stevens Dr, Pine Bluff, AR 71603
Phone: 870-536-3266    

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