Jacqueline Booth, MD in Augusta, GA - Medicare Otolaryngology

Jacqueline Booth, MD is a medicare enrolled "Otolaryngology" physician in Augusta, Georgia. Her current practice location is 1120 15th St, Augusta, Georgia. You can reach out to her office (for appointments etc.) via phone at (928) 460-3992.

Jacqueline Booth is licensed to practice in Georgia (license number 009101) 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 1083143671.

Contact Information

	Jacqueline Booth, MD
	1120 15th St, Augusta, GA 30912
	(928) 460-3992
	Not Available

Map and Direction

Physician's Profile

Full Name	Jacqueline Booth
Gender	Female
Speciality	Otolaryngology
Location	1120 15th St, Augusta, Georgia
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1083143671
Provider Enumeration Date: 06/07/2017
Last Update Date: 07/10/2024

Medicare PECOS Information:

PECOS PAC ID: 5698040202
Enrollment ID: I20220405002181

Medical Identifiers

Medical identifiers for Jacqueline Booth such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1083143671	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207Y00000X	Otolaryngology	009101 (Georgia)	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. Jacqueline Booth allows following entities to bill medicare on her behalf.

Entity Name	Rousso Facial Plastic Surgery Clinic Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1225140627 PECOS PAC ID: 2365401478 Enrollment ID: O20041005000828

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. Jacqueline Booth 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
Jacqueline Booth, MD 1120 15th St, Augusta, GA 30912-0004 Ph: () -	Jacqueline Booth, MD 1120 15th St, Augusta, GA 30912 Ph: (928) 460-3992

Reviews and Comments

Otolaryngology Doctors in Augusta, GA

Dr. William H Moretz, MD Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 818 Saint Sebastian Way, Suite 204, Augusta, GA 30901 Phone: 706-724-0668 Fax: 706-724-1124
Dr. Hachem Jammal, MD Otolaryngology Medicare: Not Enrolled in Medicare Practice Location: 1120 15th St, Augusta, GA 30912 Phone: 706-721-4400
Forest Weir, Otolaryngology Medicare: Medicare Enrolled Practice Location: 1120 15th St, Augusta, GA 30912 Phone: 706-721-8623 Fax: 706-721-1459
Lillian Marie Day, MD Otolaryngology Medicare: Not Enrolled in Medicare Practice Location: 1120 15th St, Augusta, GA 30912 Phone: 706-721-6100
Dr. Brandon Tapasak, MD Otolaryngology Medicare: Medicare Enrolled Practice Location: 1120 15th Street Bp-4109, Augusta, GA 30912 Phone: 706-721-6100
Achih Hung-chih Chen, MD Otolaryngology Medicare: Medicare Enrolled Practice Location: 1120 15th St, Augusta, GA 30912 Phone: 706-721-4400 Fax: 706-721-0112

Jacqueline Booth, MD - Medicare Otolaryngology in Augusta, GA