Jack Enter, PA-C

ActiveIndividual ProviderPhysician Assistant
NPI issued: August 11, 2005

Quick Facts

NPI Number
1366444184
TypeIndividual
StatusActive
SpecialtyPhysician Assistant
Taxonomy363A00000X — Physician Assistant
Phone
(773) 794-1000
StateIL

NPI Validation Status: Verified

Valid 10-digit NPI number (1366444184)
Active status confirmed
Verified by CMS NPPES Registry
HIPAA compliant identifier
Enumeration date on file (August 11, 2005)
Data source: CMS NPPES

Provider Overview

JACK ENTER, PA-C is a Physician Assistant provider based in Chicago, IL who has been registered with CMS since 2005. This NPI is currently Active under CMS NPPES registry.

Provider Details

NPI Number1366444184
Provider TypeIndividual Provider
GenderMale
CredentialPA-C
StatusActive
Enumeration DateAugust 11, 2005

Practice Location

CityChicago
StateIL
ZIP Code60641-1651
Phone(773) 794-1000

Specialties & Licenses

★ Primary
SpecialtyPhysician Assistant
Taxonomy Code363A00000X
License StateIL

Mailing Address

CityChicago
StateIL
ZIP Code60641-1651
Phone(773) 794-1000
Same as practice location

How to Use This NPI

📋

For Insurance Billing

Use NPI 1366444184 in Box 33 of the CMS-1500 claim form. This number is required by all major insurance carriers to identify the billing provider and process electronic medical claims.

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For Credentialing

Reference NPI 1366444184for provider credential verification. Hospital systems, state licensing boards, and CAQH directories query this number to verify the provider's active clinical status.

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For Patients

Share NPI 1366444184 with your insurance company. If you need to verify out-of-network benefits or file a reimbursement claim, your insurance provider will require this number to process it.

About Physician Assistant

Physician Assistants (PAs) practice medicine under the supervision of a licensed physician, conducting physical exams, diagnosing conditions, prescribing treatments, and assisting in surgeries.

📊
158,607
Physician Assistant Providers in the US

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People Also Ask

What is Jack Enter's NPI number?
Jack Enter's NPI number is 1366444184, a unique 10-digit identifier issued by the Centers for Medicare & Medicaid Services (CMS).
Is Jack Enter's NPI currently active?
Yes, Jack Enter's NPI status is Active as of the latest CMS NPPES database updates.
What does Jack Enter specialize in?
Jack Enter specializes in Physician Assistant. The healthcare taxonomy code associated with this specialty is 363A00000X.
Where does Jack Enter practice?
Jack Enter practices in Chicago, IL 60641-1651.
When was Jack Enter's NPI issued?
Jack Enter's NPI was issued on August 11, 2005.
What is Jack Enter's provider type?
Jack Enter is registered as an Individual Provider under CMS NPI Type 1.