Jason M Zack, MD - Medicare Dermatology in Fort Leonard Wood, MO

Jason M Zack, MD is a medicare enrolled "Dermatology" physician in Fort Leonard Wood, Missouri. His current practice location is 4430 Missouri Ave, Fort Leonard Wood, Missouri. You can reach out to his office (for appointments etc.) via phone at (573) 596-1769.

Jason M Zack is licensed to practice in Virginia (license number 0101259277) 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 1255745691.

Contact Information

Jason M Zack, MD
4430 Missouri Ave,
Fort Leonard Wood, MO 65473-9098
(573) 596-1769
(573) 596-1783



Physician's Profile

Full NameJason M Zack
GenderMale
SpecialityDermatology
Location4430 Missouri Ave, Fort Leonard Wood, Missouri
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1255745691
  • Provider Enumeration Date: 06/13/2014
  • Last Update Date: 01/25/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 2668877572
  • Enrollment ID: I20210816001984

Medical Identifiers

Medical identifiers for Jason M Zack such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1255745691NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207N00000XDermatology 0101259277 (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. Jason M Zack 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
Jason M Zack, MD
4430 Missouri Ave,
Fort Leonard Wood, MO 65473-9098

Ph: (573) 596-1769
Jason M Zack, MD
4430 Missouri Ave,
Fort Leonard Wood, MO 65473-9098

Ph: (573) 596-1769

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Dermatology Doctors in Fort Leonard Wood, MO


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