Dr Jacqueline Marie Carpenter, DO is a medicare enrolled "Obstetrics & Gynecology" physician in Burlington, Kentucky. She went to University Of Pikeville, Kentucky College Of Osteopathic Med and graduated in 2009 and has 15 years of diverse experience with area of expertise as Obstetrics/gynecology. She is a member of the group practice Summit Medical Group, Inc and her current practice location is
6105 1st Financial Dr, Burlington, Kentucky. You can reach out to her office (for appointments etc.) via phone at
(859) 525-1846.
Dr Jacqueline Marie Carpenter is licensed to practice in Kentucky (license number 03600) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1821382482.
Physician's Profile
| Full Name | Dr Jacqueline Marie Carpenter |
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| Gender | Female |
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| Speciality | Obstetrics/gynecology |
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| Experience | 15 Years |
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| Location | 6105 1st Financial Dr, Burlington, Kentucky |
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| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Dr Jacqueline Marie Carpenter attended and graduated from University Of Pikeville, Kentucky College Of Osteopathic Med in 2009
NPI Data:
- NPI Number: 1821382482
- Provider Enumeration Date: 06/01/2011
- Last Update Date: 08/30/2019
Medicare PECOS Information:
- PECOS PAC ID: 6204079189
- Enrollment ID: I20130823001307
Medical Identifiers
Medical identifiers for Dr Jacqueline Marie Carpenter such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1821382482 | NPI | - | NPPES |
| 0088573 | Medicaid | OH | |
| 7100262850 | Medicaid | KY | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 207V00000X | Obstetrics & Gynecology | 58.003155 (Ohio) | Secondary |
| 207V00000X | Obstetrics & Gynecology | 03600 (Kentucky) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Summit Medical Group, Inc | 2163326240 | 712 |
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 Marie Carpenter allows following entities to bill medicare on her behalf.
| Entity Name | Community Medical Associates Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1588614994
PECOS PAC ID: 7012811284
Enrollment ID: O20031120000656 |
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| Entity Name | Summit Medical Group, Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1508287640
PECOS PAC ID: 2163326240
Enrollment ID: O20031120000738 |
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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 Marie Carpenter 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 |
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Dr Jacqueline Marie Carpenter, DO
Po Box 635283,
Cincinnati, OH 45263-5283
Ph: (859) 331-4665 | Dr Jacqueline Marie Carpenter, DO
6105 1st Financial Dr,
Burlington, KY 41005-7892
Ph: (859) 525-1846 |
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