Dr Jerome Davis Booker Jr, MD is a medicare enrolled "Pediatrics" physician in Saint Helena, California. His current practice location is
10 Woodland Rd, Saint Helena, California. You can reach out to his office (for appointments etc.) via phone at
(707) 963-6505.
Dr Jerome Davis Booker Jr is licensed to practice in New York (license number 287651-1) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1447472857.
Physician's Profile
Full Name | Dr Jerome Davis Booker Jr |
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Gender | Male |
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Speciality | Pediatrics |
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Location | 10 Woodland Rd, Saint Helena, California |
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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: 1447472857
- Provider Enumeration Date: 05/03/2007
- Last Update Date: 04/16/2018
Medicare PECOS Information:
- PECOS PAC ID: 6103902572
- Enrollment ID: I20080325000712
Medical Identifiers
Medical identifiers for Dr Jerome Davis Booker Jr such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1447472857 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
208000000X | Pediatrics | A99445 (California) | Secondary |
208000000X | Pediatrics | 287651-1 (New York) | Primary |
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 Jerome Davis Booker Jr allows following entities to bill medicare on his behalf.
Entity Name | St. Helena Hospital |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1720078082 PECOS PAC ID: 8729059878 Enrollment ID: O20040803001176 |
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Entity Name | Dignity Health |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1336588870 PECOS PAC ID: 2062320559 Enrollment ID: O20081223000427 |
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Entity Name | Barstow Primary Care Clinic |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1871904656 PECOS PAC ID: 7719105774 Enrollment ID: O20140904001517 |
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Entity Name | St Joseph Health Northern California Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1235218785 PECOS PAC ID: 8921374562 Enrollment ID: O20200706001160 |
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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 Jerome Davis Booker Jr 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 Jerome Davis Booker Jr, MD 1144 Church St, Saint Helena, CA 94574-1205 Ph: (408) 887-4078 | Dr Jerome Davis Booker Jr, MD 10 Woodland Rd, Saint Helena, CA 94574-9554 Ph: (707) 963-6505 |
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