Dr Micaela A Jett, MD is a medicare enrolled "Pediatrics" physician in Laughlin Afb, Texas. Her current practice location is
590 Mitchell Blvd Bldg 375, Laughlin Afb, Texas. You can reach out to her office (for appointments etc.) via phone at
(830) 298-6333.
Dr Micaela A Jett is licensed to practice in California (license number A112725) 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 1790831816.
Physician's Profile
Full Name | Dr Micaela A Jett |
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Gender | Female |
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Speciality | Pediatrics |
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Location | 590 Mitchell Blvd Bldg 375, Laughlin Afb, Texas |
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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: 1790831816
- Provider Enumeration Date: 01/25/2007
- Last Update Date: 02/11/2022
Medicare PECOS Information:
- PECOS PAC ID: 8527373786
- Enrollment ID: I20181206000292
Medical Identifiers
Medical identifiers for Dr Micaela A Jett such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1790831816 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
208000000X | Pediatrics | A112725 (California) | 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 Micaela A Jett allows following entities to bill medicare on her behalf.
Entity Name | Permanente Medical Group Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1073606299 PECOS PAC ID: 8921910225 Enrollment ID: O20031104000710 |
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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 Micaela A Jett 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 Micaela A Jett, MD 590 Mitchell Blvd Bldg 375, Laughlin Afb, TX 78843-5242 Ph: (830) 298-6333 | Dr Micaela A Jett, MD 590 Mitchell Blvd Bldg 375, Laughlin Afb, TX 78843-5242 Ph: (830) 298-6333 |
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