Dr Jacqueline J Bae, MD is a
Nutritionist - Nutrition, Education based in Lakeport, California. Dr Jacqueline J Bae is licensed to practice in * (Not Available) (license number ) and her current practice location is
925 Bevins Ct, Lakeport, California. She can be reached at her office (for appointments etc.) via phone at
(707) 263-8382.
NPI number for Dr Jacqueline J Bae is 1245521749 and her current mailing address is Po Box 1558, Lakeport, California. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1245521749.
Healthcare Provider's Profile
Full Name | Dr Jacqueline J Bae |
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Gender | Female |
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Speciality | Nutritionist - Nutrition, Education |
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Location | 925 Bevins Ct, Lakeport, California |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1245521749
- Provider Enumeration Date: 05/02/2011
- Last Update Date: 05/02/2011
Medical Identifiers
Medical identifiers for Dr Jacqueline J Bae such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1245521749 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101Y00000X | Counselor | (* (Not Available)) | Secondary |
133NN1002X | Nutritionist - Nutrition, Education | (* (Not Available)) | 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. Dr Jacqueline J Bae 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 Address | Practice Location Address |
Dr Jacqueline J Bae, MD Po Box 1558, Lakeport, CA 95453-1558 Ph: (213) 663-2538 | Dr Jacqueline J Bae, MD 925 Bevins Ct, Lakeport, CA 95453-9754 Ph: (707) 263-8382 |
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