Jacqueline Dubose, MD in Augusta, GA - Medicare Family Practice

Jacqueline Dubose, MD is a medicare enrolled "Family Medicine" physician in Augusta, Georgia. She went to Medical College Of Georgia School Of Medicine and graduated in 2006 and has 18 years of diverse experience with area of expertise as Family Practice. She is a member of the group practice Au Medical Associates Inc and her current practice location is 1120 15th St, Hb-3018, Augusta, Georgia. You can reach out to her office (for appointments etc.) via phone at (706) 721-4588.

Jacqueline Dubose is licensed to practice in Georgia (license number 061420) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1922129683.

Contact Information

	Jacqueline Dubose, MD
	1120 15th St, Hb-3018, Augusta, GA 30912-0004
	(706) 721-4588
	Not Available

Map and Direction

Physician's Profile

Full Name	Jacqueline Dubose
Gender	Female
Speciality	Family Practice
Experience	18 Years
Location	1120 15th St, Augusta, Georgia
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Jacqueline Dubose attended and graduated from Medical College Of Georgia School Of Medicine in 2006

NPI Data:

NPI Number: 1922129683
Provider Enumeration Date: 04/02/2007
Last Update Date: 04/27/2011

Medicare PECOS Information:

PECOS PAC ID: 1951456946
Enrollment ID: I20100817000922

Medical Identifiers

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

Identifier	Type	State	Issuer
1922129683	NPI	-	NPPES
061420	Other	GA	STATE
31805	Other	SC	STATE

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207Q00000X	Family Medicine	TL31805 (South Carolina)	Secondary
207Q00000X	Family Medicine	061420 (Georgia)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Au Medical Center	Augusta, GA	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Au Medical Associates Inc	9931013513	585

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 Dubose allows following entities to bill medicare on her behalf.

Entity Name	Au Medical Associates Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1841230620 PECOS PAC ID: 9931013513 Enrollment ID: O20040107000188

Entity Name	Wellstar Medical Group, Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1558664003 PECOS PAC ID: 6709065402 Enrollment ID: O20110127000374

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 Dubose 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 Dubose, MD 1499 Walton Way, Ste 1400, Augusta, GA 30901-2602 Ph: (706) 724-6100	Jacqueline Dubose, MD 1120 15th St, Hb-3018, Augusta, GA 30912-0004 Ph: (706) 721-4588

Reviews and Comments

Family Medicine Doctors in Augusta, GA

Dr. Toya Hester Kelley, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 1120 15th St, Augusta, GA 30912 Phone: 706-721-3157
Janis S. Coffin, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1120 15th St, Augusta, GA 30912 Phone: 706-721-4588 Fax: 706-721-7264
Dr. Thomas Christopher Smith, M.D. Family Medicine Medicare: May Accept Medicare Assignments Practice Location: 1701 Magnolia Way Ste 101, Augusta, GA 30909 Phone: 706-922-6600 Fax: 706-650-0239
Dr. William Robert Rout, M.D. Family Medicine Medicare: Medicare Enrolled Practice Location: 963 Bennock Mill Dr., Augusta, GA 30906 Phone: 352-538-5899
Racquel Puranda, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 1120 15th St, Augusta, GA 30912 Phone: 678-790-0634
Angela Overstreet Wright, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2607 Commons Blvd, Augusta, GA 30909 Phone: 706-750-8601
Shahed Anam Ibn Faruk, Family Medicine Medicare: Medicare Enrolled Practice Location: 1120 15th St, Augusta, GA 30912 Phone: 706-721-2273

Jacqueline Dubose, MD - Medicare Family Practice in Augusta, GA