Gracia De Jong, MD in Powell, OH - Medicare Pediatrics

Gracia De Jong, MD is a medicare enrolled "Pediatrics" physician in Powell, Ohio. Her current practice location is 55 Clairedan Dr, Powell, Ohio. You can reach out to her office (for appointments etc.) via phone at (614) 888-8989.

Gracia De Jong is licensed to practice in Ohio (license number 35.141481) 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 1154827061.

Contact Information

	Gracia De Jong, MD
	55 Clairedan Dr, Powell, OH 43065-8064
	(614) 888-8989
	(614) 888-8968

Map and Direction

Physician's Profile

Full Name	Gracia De Jong
Gender	Female
Speciality	Pediatrics
Location	55 Clairedan Dr, Powell, Ohio
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1154827061
Provider Enumeration Date: 04/01/2018
Last Update Date: 01/11/2023

Medicare PECOS Information:

PECOS PAC ID: 7315293917
Enrollment ID: I20210517002593

Medical Identifiers

Medical identifiers for Gracia De Jong such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1154827061	NPI	-	NPPES
H771400	Other	OH	CGS MEDICARE
0435440	Medicaid	OH

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208000000X	Pediatrics	35.141481 (Ohio)	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. Gracia De Jong allows following entities to bill medicare on her behalf.

Entity Name	Pediatric Academic Association, Inc.
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1063419943 PECOS PAC ID: 2961306774 Enrollment ID: O20031124000198

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. Gracia De Jong 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
Gracia De Jong, MD 55 Clairedan Dr, Powell, OH 43065-8064 Ph: (614) 888-8989	Gracia De Jong, MD 55 Clairedan Dr, Powell, OH 43065-8064 Ph: (614) 888-8989

Reviews and Comments

Pediatrics Doctors in Powell, OH

Dr. Sara M Kelly, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 55 Clairedan Dr., Powell, OH 43065 Phone: 614-888-8989 Fax: 614-888-8968
Jacqueline Pennywitt, Pediatrics Medicare: Medicare Enrolled Practice Location: 55 Clairedan Dr, Powell, OH 43065 Phone: 614-888-8989 Fax: 614-888-8968
Dr. Adebomi Adeola Omikunle, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 55 Clairedan Dr., Powell, OH 43065 Phone: 614-888-8989 Fax: 614-888-8968
Dr. Laura E Osthaus, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 55 Clairedan Dr., Powell, OH 43065 Phone: 614-888-8989 Fax: 614-888-8968
Dr. Michael R Franks, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 55 Clairedan Dr., Powell, OH 43065 Phone: 614-888-8989 Fax: 614-888-8968
Dr. Christopher B. Houts, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 55 Clairedan Dr., Powell, OH 43065 Phone: 614-888-8989 Fax: 614-888-8968

Gracia De Jong, MD - Medicare Pediatrics in Powell, OH