Dr Jacqueline J Mokfi, MD is a medicare enrolled "Internal Medicine" physician in Mishawaka, Illinois. Her current practice location is
5215 Holy Cross Parkway, Mishawaka, Illinois. You can reach out to her office (for appointments etc.) via phone at
(574) 335-5000.
Dr Jacqueline J Mokfi is licensed to practice in Indiana (license number 01072102A) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1740454305.
Physician's Profile
Full Name | Dr Jacqueline J Mokfi |
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Gender | Female |
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Speciality | Internal Medicine |
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Location | 5215 Holy Cross Parkway, Mishawaka, Illinois |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1740454305
- Provider Enumeration Date: 04/15/2008
- Last Update Date: 02/16/2016
Medicare PECOS Information:
- PECOS PAC ID: 8123263894
- Enrollment ID: I20130329000013
Medical Identifiers
Medical identifiers for Dr Jacqueline J Mokfi such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1740454305 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207R00000X | Internal Medicine | 041838 (Connecticut) | Secondary |
207RC0200X | Internal Medicine - Critical Care Medicine | 041838 (Connecticut) | Secondary |
207RI0200X | Internal Medicine - Infectious Disease | 041838 (Connecticut) | Secondary |
207R00000X | Internal Medicine | 01072102A (Indiana) | Primary |
207RI0200X | Internal Medicine - Infectious Disease | 01072102A (Indiana) | Secondary |
Medicare Reassignments
Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Dr Jacqueline J Mokfi allows following entities to bill medicare on her behalf.
Entity Name | Engleman Clinical Staffing Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1477052454 PECOS PAC ID: 3173887544 Enrollment ID: O20180511000094 |
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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 Mokfi is
enrolled with medicare and thus, if eligible, can 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 Mokfi, MD 5215 Holy Cross Parkway, Mishawaka, IN 46545 Ph: (574) 335-5000 | Dr Jacqueline J Mokfi, MD 5215 Holy Cross Parkway, Mishawaka, IL 46545 Ph: (574) 335-5000 |
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