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MARILOU REYES JACK MD
NPI 1669442075
Pediatrics in Beatrice, NE

Active since January 26, 2006PECOS Enrolled
4800 HOSPITAL PARKWAY, BEATRICE, NE 68310(402) 228-3344 Get Directions Write a Review

NPPES record last updated: September 24, 2012. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Marilou Reyes Jack Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MARILOU REYES JACK MD (NPI 1669442075) is an individual pediatrics provider in Beatrice, Nebraska, licensed in Oregon (MD26013) and active in the NPI registry since January 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1669442075
Entity TypeIndividualFemale
Primary Taxonomy208000000X
Provider Legal NameMARILOU REYES JACKCredential: MD
Location Address4800 HOSPITAL PARKWAYBeatrice, NE 68310-6906
Mailing Address4800 Hospital ParkwayBeatrice, NE 68310-6906 · (402) 228-3344
Phone(402) 228-3344
Sole ProprietorNo
Enumeration DateJanuary 26, 2006
Last NPPES UpdateSeptember 24, 2012
✔ NPI 1669442075 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in OR · MD26013
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
4800 HOSPITAL PARKWAY, Beatrice, NE 68310
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Sunflower Health Plan, Ambetter Health, Ambetter Health of Delaware and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Marilou Reyes Jack Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Marilou Jack reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Beatrice Community Hospital & Health Center Inc
Same address
Emergency Medicine
4800 HOSPITAL PARKWAY
Beatrice, NE 68310
  • Reassigned Medicare billing, Nebraska enrollment
  • 91 clinicians in this Medicare group
NPI 1922111855 (402) 228-3344

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 68310 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$81.20 typical visit price
range $52.69 – $160.21
Typical copayment $20.30 (range $13.17 – $40.05)
Most-billed visit code 99203
Established Patient
$93.55 typical visit price
range $16.90 – $131.25
Typical copayment $23.38 (range $4.22 – $32.81)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 6

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

BEATRICE COMMUNITY HOSPITAL & HEALTH CENTER INC
Medicare Defined Swing Bed Unit
4800 HOSPITAL PARKWAY
BEATRICE, NE 68310
Gage County (402) 228-3344
BEATRICE COMMUNITY HOSPITAL & HEALTH CENTER INC
General Acute Care Hospital (Critical Access)
4800 HOSPITAL PARKWAY
BEATRICE, NE 68310
Gage County (402) 228-3344
BEATRICE COMMUNITY HOSPITAL
Clinic/Center
4800 HOSPITAL PARKWAY
BEATRICE, NE 68310
Gage County (402) 228-3344
BEATRICE COMMUNITY HOSPITAL & HEALTH CENTER INC
Clinic/Center (Rural Health)
4800 HOSPITAL PARKWAY
BEATRICE, NE 68310
Gage County (402) 223-2366
BEATRICE COMMUNITY HOSPITAL & HEALTH CENTER INC
Emergency Medicine
4800 HOSPITAL PARKWAY
BEATRICE, NE 68310
Gage County (402) 228-3344
TAMMI L CARSTENS PA-C
Physician Assistant (Medical)
4800 HOSPITAL PARKWAY
BEATRICE, NE 68310
Gage County (402) 228-3344

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Marilou Jack's NPI number?

The NPI number for Marilou Jack is 1669442075. It was assigned to this individual provider in the NPPES registry on January 26, 2006.

Where is Marilou Jack located?

Marilou Jack practices at 4800 Hospital Parkway, Beatrice, NE 68310. The listed phone number is (402) 228-3344.

What is Marilou Jack's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Is Marilou Jack enrolled in Medicare?

Yes. Marilou Jack is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Marilou Jack's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Marilou Jack reassigns Medicare benefits to Beatrice Community Hospital & Health Center Inc (Beatrice, NE). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Marilou Jack's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Marilou Jack accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Sunflower Health Plan, Blue Cross and Blue Shield of Nebraska and Oscar Insurance Company and 1 other insurer list Marilou Jack as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Marilou Jack was last updated on September 24, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.