Jack David Coorts, MD in Columbia, MO - Medicare Surgery

Jack David Coorts, MD is a medicare enrolled "Surgery" physician in Columbia, Missouri. His current practice location is 1 Hospital Dr, Columbia, Missouri. You can reach out to his office (for appointments etc.) via phone at (573) 882-4141.

Jack David Coorts is licensed to practice in Missouri (license number -----) 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 1457884074.

Contact Information

	Jack David Coorts, MD
	1 Hospital Dr, Columbia, MO 65212-1702
	(573) 882-4141
	Not Available

Physician's Profile

Full Name	Jack David Coorts
Gender	Male
Speciality	Surgery
Location	1 Hospital Dr, Columbia, Missouri
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1457884074
Provider Enumeration Date: 04/10/2017
Last Update Date: 06/18/2019

Medicare PECOS Information:

PECOS PAC ID: 9537494950
Enrollment ID: I20190708002039

Medical Identifiers

Medical identifiers for Jack David Coorts such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1457884074	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208600000X	Surgery	----- (Missouri)	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. Jack David Coorts 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 Address	Practice Location Address
Jack David Coorts, MD 1270 Cinnamon Hill Ln, 101, Columbia, MO 65201-2352 Ph: (270) 994-0303	Jack David Coorts, MD 1 Hospital Dr, Columbia, MO 65212-1702 Ph: (573) 882-4141

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Surgery Doctors in Columbia, MO

Olivia Louise Bolles, MD Surgery Medicare: Not Enrolled in Medicare Practice Location: 1 Hospital Dr, Columbia, MO 65212 Phone: 573-882-4141
Alice Lee, Surgery Medicare: Accepting Medicare Assignments Practice Location: One Hospital Dr, Columbia, MO 65212 Phone: 573-882-5609 Fax: 573-884-6054
Ioan-andrei Scumpu, MD Surgery Medicare: Not Enrolled in Medicare Practice Location: 1 Hospital Dr, Mchaney Hall 404, Dco75.00, Columbia, MO 65212 Phone: 573-884-2000
Marc L Miller, DO Surgery Medicare: Accepting Medicare Assignments Practice Location: 115 Business Loop 70 W, Columbia, MO 65203 Phone: 573-882-8454 Fax: 573-884-6054
Dr. Mary Carr, MD Surgery Medicare: Medicare Enrolled Practice Location: 800 Hospital Dr, Columbia, MO 65201 Phone: 573-814-6000
Brent W Miedema, MD Surgery Medicare: Medicare Enrolled Practice Location: 800 Hospital Dr # 617, Columbia, MO 65201 Phone: 573-814-6346
Richard Smith, M.D. Surgery Medicare: Not Enrolled in Medicare Practice Location: 1 Hospital Drive, Columbia, MO 65201 Phone: 573-884-4854 Fax: 573-884-6054

Jack David Coorts, MD - Medicare Surgery in Columbia, MO