ERIN OLIVIA JACK PA-C
NPI 1902565781
Physician Assistant - Surgical in Bethel Park, PA
About Erin Olivia Jack Pa-c NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
ERIN OLIVIA JACK PA-C (NPI 1902565781) is an individual surgical provider in Bethel Park, Pennsylvania, licensed in Pennsylvania (MA063004) and active in the NPI registry since December 2021. She is enrolled in Medicare PECOS, is affiliated with St Clair Hospital, and is a graduate of Other (2021).
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Erin Olivia Jack Pa-c is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
St Clair Hospital
Acute Care Hospitals · Pittsburgh, PAOther Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
BETHEL PARK, PA 15102
BETHEL PARK, PA 15102
BETHEL PARK, PA 15102
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 Erin Jack's NPI number?
The NPI number for Erin Jack is 1902565781. It was assigned to this individual provider in the NPPES registry on December 9, 2021.
Where is Erin Jack located?
Erin Jack practices at 2000 Oxford Dr, Bethel Park, PA 15102. The listed phone number is (412) 942-7880.
What is Erin Jack's specialty?
The primary specialty registered for this NPI is Physician Assistant, specializing in Surgical, with taxonomy code 363AS0400X.
Is Erin Jack enrolled in Medicare?
Yes. Erin Jack is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Is Erin Jack affiliated with any hospitals?
According to CMS data, Erin Jack is affiliated with St Clair Hospital.
When was this NPI record last updated?
The NPPES record for Erin Jack was last updated on December 27, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.
# Erin Olivia Jack, PA-C · NPI 1902565781
Surgical physician in Bethel Park, Pennsylvania. Individual provider, active in the CMS NPPES registry since December 9, 2021.
## Identity
- **NPI:** 1902565781 (Entity type: Individual)
- **Enumerated:** December 9, 2021
- **Primary specialty:** Physician Assistant - Surgical · taxonomy 363AS0400X
- **State license:** MA063004 (Pennsylvania)
- **Sole proprietor:** No
## Practice location
- **Address:** 2000 OXFORD DR, Bethel Park, PA 15102-1827
- **Phone:** (412) 942-7880
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Medical school:** Other, class of 2021
## Record status
- **NPPES last updated:** December 27, 2021
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Source: [NPI Profile](https://npiprofile.com/npi/1902565781) · Data from the CMS NPPES public registry.