Jack L Stump, MD - Medicare Emergency Medicine in Vancouver, WA

Jack L Stump, MD is a medicare enrolled "Emergency Medicine" physician in Vancouver, Washington. His current practice location is 600 Ne 92nd Ave, Vancouver, Washington. You can reach out to his office (for appointments etc.) via phone at (360) 514-2142.

Jack L Stump is licensed to practice in Washington (license number MD00037100) 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 1881632677.

Contact Information

Jack L Stump, MD
600 Ne 92nd Ave,
Vancouver, WA 98664-3225
(360) 514-2142
(360) 514-6820



Physician's Profile

Full NameJack L Stump
GenderMale
SpecialityEmergency Medicine
Location600 Ne 92nd Ave, Vancouver, Washington
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1881632677
  • Provider Enumeration Date: 06/03/2006
  • Last Update Date: 10/09/2012
  Medicare PECOS Information:
  • PECOS PAC ID: 7810920360
  • Enrollment ID: I20050914001268

Medical Identifiers

Medical identifiers for Jack L Stump such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1881632677NPI-NPPES
278167MedicaidOR
8239576MedicaidWA

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207P00000XEmergency Medicine MD00037100 (Washington)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. Jack L Stump allows following entities to bill medicare on his behalf.
Entity NamePeacehealth
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1134178999
PECOS PAC ID: 9739092065
Enrollment ID: O20031111000831

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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. Jack L Stump 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
Jack L Stump, MD
File 742997, Po Box 60000,
Los Angeles, CA 90074-2997

Ph: (360) 514-2142
Jack L Stump, MD
600 Ne 92nd Ave,
Vancouver, WA 98664-3225

Ph: (360) 514-2142

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Emergency Medicine Doctors in Vancouver, WA

Dr. Andrew Douglass Zechnich, M.D.
Emergency Medicine
Medicare: Medicare Enrolled
Practice Location: 3400 Main St, Vancouver, WA 98663
Phone: 360-696-5232    Fax: 360-696-5228
Jeff S Brent, M.D.
Emergency Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 700 Ne 87th Ave, Vancouver, WA 98664
Phone: 360-882-2778    
Dr. Erin Meadows, MD
Emergency Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 2211 Ne 139th St, Vancouver, WA 98686
Phone: 559-250-7564    
Megumi S Ketcham, M.D.
Emergency Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 2211 Ne 139th St, Vancouver, WA 98686
Phone: 360-487-1000    
Dr. Jamie Mcginnity, M.D.
Emergency Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 2211 Ne 139th St, Vancouver, WA 98686
Phone: 360-487-1000    
George T Lin, MD
Emergency Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 2211 Ne 139th St, Vancouver, WA 98686
Phone: 360-487-1400    
Daniel M Bissell, MD
Emergency Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 2211 Ne 139th St, Vancouver, WA 98686
Phone: 360-487-1400    

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