Timothy Jacks, DO - Pediatrics in Mesa, AZ

Timothy Jacks, DO is a Pediatrics physician based in Mesa, Arizona. Timothy Jacks is licensed to practice in Arizona (license number R70095) and his current practice location is 4540 E Baseline Rd, Suite 108, Mesa, Arizona. He can be reached at his office (for appointments etc.) via phone at (480) 892-3880.

NPI number for Timothy Jacks is 1164686549 and his current mailing address is 4540 E Baseline Rd, Suite 108, Mesa, Arizona. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1164686549.

Contact Information

Timothy Jacks, DO
4540 E Baseline Rd, Suite 108,
Mesa, AZ 85206-4613
(480) 892-3880
(480) 545-4551



Physician's Profile

Full NameTimothy Jacks
GenderMale
SpecialityPediatrics
Location4540 E Baseline Rd, Mesa, Arizona
Accepts Medicare AssignmentsDoes not participate in Medicare Program. He may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1164686549
  • Provider Enumeration Date: 07/15/2008
  • Last Update Date: 05/17/2013

Medical Identifiers

Medical identifiers for Timothy Jacks such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1164686549NPI-NPPES
R70095OtherAZTRAINING PERMIT

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
208000000XPediatrics R70095 (Arizona)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. Timothy Jacks 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
Timothy Jacks, DO
4540 E Baseline Rd, Suite 108,
Mesa, AZ 85206-4613

Ph: (480) 892-3880
Timothy Jacks, DO
4540 E Baseline Rd, Suite 108,
Mesa, AZ 85206-4613

Ph: (480) 892-3880

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Pediatrics Doctors in Mesa, AZ

Jyoti S. Lebonheur, M.D.
Pediatrics
Medicare: Not Enrolled in Medicare
Practice Location: 1840 S. Stapley Drive, Suite 101, Mesa, AZ 85204
Phone: 480-464-8500    
Dr. Eric Gabriel Gonzalez, MD
Pediatrics
Medicare: Not Enrolled in Medicare
Practice Location: 616 E Southern Ave, #103, Mesa, AZ 85204
Phone: 602-569-3999    Fax: 602-569-3887
Pacita Tee Opulencia, MD
Pediatrics
Medicare: Not Enrolled in Medicare
Practice Location: 59 S Hibbert, Mesa, AZ 85210
Phone: 480-344-6226    Fax: 602-344-6201
Dr. Daniel E Miga, MD
Pediatrics
Medicare: Accepting Medicare Assignments
Practice Location: 1432 S Dobson Rd Ste 512, Mesa, AZ 85202
Phone: 480-412-6336    Fax: 480-412-8013
Naresh Reddivalla, MD
Pediatrics
Medicare: Medicare Enrolled
Practice Location: 1432 S Dobson Rd Ste 107, Mesa, AZ 85202
Phone: 480-412-4100    
Dale W Guthrie, M.D.
Pediatrics
Medicare: Not Enrolled in Medicare
Practice Location: 4540 E Baseline Rd, Suite 108, Mesa, AZ 85206
Phone: 480-892-3880    Fax: 480-545-4551
Dr. Leno Mammen Thomas, MD
Pediatrics
Medicare: Medicare Enrolled
Practice Location: 1432 S Dobson Rd Ste 506, Mesa, AZ 85202
Phone: 480-412-6430    

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