Mr David B Jack, MD - Family Medicine in Draper, UT

Mr David B Jack, MD is a Family Medicine - Obesity Medicine physician based in Draper, Utah. Mr David B Jack is licensed to practice in Utah (license number 168941-1205) and his current practice location is 74 E Kimballs Ln Ste 260, Draper, Utah. He can be reached at his office (for appointments etc.) via phone at (801) 545-8480.

NPI number for Mr David B Jack is 1255434296 and his current mailing address is Po Box 198560, Atlanta, Georgia. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1255434296.

Contact Information

Mr David B Jack, MD
74 E Kimballs Ln Ste 260,
Draper, UT 84020-5009
(801) 545-8480
(801) 253-1602



Physician's Profile

Full NameMr David B Jack
GenderMale
SpecialityFamily Medicine - Obesity Medicine
Location74 E Kimballs Ln Ste 260, Draper, Utah
Accepts Medicare AssignmentsDoes not participate in Medicare Program. He may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1255434296
  • Provider Enumeration Date: 09/06/2006
  • Last Update Date: 02/01/2022

Medical Identifiers

Medical identifiers for Mr David B Jack such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1255434296NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207QB0002XFamily Medicine - Obesity Medicine 168941-1205 (Utah)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. Mr David B Jack is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Mr David B Jack, MD
Po Box 198560,
Atlanta, GA 30384-1721

Ph: () -
Mr David B Jack, MD
74 E Kimballs Ln Ste 260,
Draper, UT 84020-5009

Ph: (801) 545-8480

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› Verified 8 days ago


Family Medicine Doctors in Draper, UT

Dr. Gordon Thier Oremland, M.D.
Family Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 12422 S 450 E, Draper, UT 84020
Phone: 801-748-1600    Fax: 801-748-1601
Geoffrey Thomas Osmond, NP
Family Medicine
Medicare: Medicare Enrolled
Practice Location: 11760 S 700 E Ste 112, Draper, UT 84020
Phone: 801-572-1186    
Jessica Wilkinson, M.D.
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 13953 S Bangerter Pkwy, Draper, UT 84020
Phone: 385-900-4090    Fax: 801-365-1033
Daniel Trevor Young, D.O.
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 74 E Kimballs Ln Ste 300, Draper, UT 84020
Phone: 801-572-0311    
Harold N Gooch, MD
Family Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 12176 South 1000 East, Draper, UT 84020
Phone: 801-572-3750    Fax: 801-572-1097
Bradley Prestwich, MD
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 12473 S Minuteman Dr, Draper, UT 84020
Phone: 801-495-7910    Fax: 801-495-7990
Dr. Layne A Hermansen, DO
Family Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 877 E 12300 S, Suite 201, Draper, UT 84020
Phone: 801-542-7111    Fax: 801-542-7112

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