Jason Slack, DO - Medicare Internal Medicine in Hagerstown, MD

Jason Slack, DO is a medicare enrolled "Internal Medicine" physician in Hagerstown, Maryland. He went to Edward Via Col Of Osteo Medicine-virginia Campus and graduated in 2015 and has 9 years of diverse experience with area of expertise as Internal Medicine. He is a member of the group practice Rural Physicians Group-pannu Pllc, Meritus Medical Center Inc and his current practice location is 11116 Medical Campus Rd, Hagerstown, Maryland. You can reach out to his office (for appointments etc.) via phone at (301) 790-8804.

Jason Slack is licensed to practice in Maryland (license number H96459) 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 1043692197.

Contact Information

Jason Slack, DO
11116 Medical Campus Rd,
Hagerstown, MD 21742-6710
(301) 790-8804
Not Available



Physician's Profile

Full NameJason Slack
GenderMale
SpecialityInternal Medicine
Experience9 Years
Location11116 Medical Campus Rd, Hagerstown, Maryland
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:
  • Jason Slack attended and graduated from Edward Via Col Of Osteo Medicine-virginia Campus in 2015
  NPI Data:
  • NPI Number: 1043692197
  • Provider Enumeration Date: 06/25/2015
  • Last Update Date: 12/29/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 6507129186
  • Enrollment ID: I20180412001419

Medical Identifiers

Medical identifiers for Jason Slack such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1043692197NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207R00000XInternal Medicine 05-40745 (Kansas)Secondary
207R00000XInternal Medicine 2015017143 (Missouri)Secondary
207R00000XInternal Medicine H96459 (Maryland)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Serenity Hospice Care LlcWichita, KSHospice
Meritus Medical CenterHagerstown, MDHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Rural Physicians Group-pannu Pllc034546748689
Meritus Medical Center Inc7113811795101

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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. Jason Slack allows following entities to bill medicare on his behalf.
Entity NameHospitalist Medicine Physicians Of Texas Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1629307095
PECOS PAC ID: 3476688318
Enrollment ID: O20151112002441

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Entity NameRural Physicians Group-pannu Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1891236584
PECOS PAC ID: 0345467486
Enrollment ID: O20181205001250

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Entity NameHospitalist Medicine Physicians Of Texas-tcg Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1902384464
PECOS PAC ID: 3678825312
Enrollment ID: O20200127001753

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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. Jason Slack 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 Slack, DO
11116 Medical Campus Rd,
Hagerstown, MD 21742-6710

Ph: () -
Jason Slack, DO
11116 Medical Campus Rd,
Hagerstown, MD 21742-6710

Ph: (301) 790-8804

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Internal Medicine Doctors in Hagerstown, MD

Sadik Mohammed Ali, MD
Internal Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 251 E Antietam St, Hagerstown, MD 21740
Phone: 301-790-8804    
Dr. Alida Mercedes Espinoza, MD
Internal Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 1130 Opal Ct, Hagerstown, MD 21740
Phone: 301-797-8279    Fax: 301-797-8504
Dr. James E Cremins, M.D.
Internal Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 11110 Medical Campus Rd, Suite 242, Hagerstown, MD 21742
Phone: 240-382-3783    Fax: 240-382-3799
Fahad Lodhi, M.D.
Internal Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 1733 Howell Rd, Hagerstown, MD 21740
Phone: 301-797-2525    
Dr. Tarek Nabil El-sherif, MD
Internal Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 11110 Medical Campus Rd, # 223, Hagerstown, MD 21742
Phone: 301-560-4747    Fax: 301-776-1725
Khetisuda Suvarnasuddhi, M.D.
Internal Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 12931 Oak Hill Ave, Hagerstown, MD 21742
Phone: 301-797-9600    Fax: 301-797-3854

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