Jacqueline Catney Dubois, MD is a medicare enrolled "Pediatrics" physician in Jacksonville, Texas. Her current practice location is
510 E Commerce St, Jacksonville, Texas. You can reach out to her office (for appointments etc.) via phone at
(903) 535-9041.
Jacqueline Catney Dubois is licensed to practice in Texas (license number L0145) 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 1043206147.
Physician's Profile
Full Name | Jacqueline Catney Dubois |
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Gender | Female |
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Speciality | Pediatrics |
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Location | 510 E Commerce St, Jacksonville, 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: 1043206147
- Provider Enumeration Date: 09/23/2005
- Last Update Date: 08/23/2022
Medicare PECOS Information:
- PECOS PAC ID: 4587689146
- Enrollment ID: I20051012000813
Medical Identifiers
Medical identifiers for Jacqueline Catney Dubois such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1043206147 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
208000000X | Pediatrics | 0432450 (Kansas) | Secondary |
208000000X | Pediatrics | L0145 (Texas) | 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 Catney Dubois allows following entities to bill medicare on her behalf.
Entity Name | Tyler Family Circle Of Care |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1144575820 PECOS PAC ID: 4587812888 Enrollment ID: O20120911000666 |
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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. Jacqueline Catney Dubois 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 Catney Dubois, MD 523 S Fannin Ave, Tyler, TX 75702-8204 Ph: (903) 535-9041 | Jacqueline Catney Dubois, MD 510 E Commerce St, Jacksonville, TX 75766-4910 Ph: (903) 535-9041 |
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