Jacqueline I Doris, MD in Phoenix, AZ - Medicare Family Practice

Jacqueline I Doris, MD is a medicare enrolled "Family Medicine" physician in Phoenix, Arizona. She went to Birmingham Medical College and graduated in 1988 and has 36 years of diverse experience with area of expertise as Family Practice. She is a member of the group practice Neighborhood Outreach Access To Health and her current practice location is 4131 N 24th St, B-102, Phoenix, Arizona. You can reach out to her office (for appointments etc.) via phone at (602) 955-6632.

Jacqueline I Doris is licensed to practice in Arizona (license number 24281) 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 1922090992.

Contact Information

	Jacqueline I Doris, MD
	4131 N 24th St, B-102, Phoenix, AZ 85016-6262
	(602) 955-6632
	(602) 381-1341

Map and Direction

Physician's Profile

Full Name	Jacqueline I Doris
Gender	Female
Speciality	Family Practice
Experience	36 Years
Location	4131 N 24th St, Phoenix, Arizona
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 I Doris attended and graduated from Birmingham Medical College in 1988

NPI Data:

NPI Number: 1922090992
Provider Enumeration Date: 08/16/2005
Last Update Date: 09/24/2013

Medicare PECOS Information:

PECOS PAC ID: 5496899155
Enrollment ID: I20100218000277

Medical Identifiers

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

Identifier	Type	State	Issuer
1922090992	NPI	-	NPPES
358946	Medicaid	AZ

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207Q00000X	Family Medicine	24281 (Arizona)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
John C. Lincoln North Mountain Hospital	Phoenix, AZ	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Neighborhood Outreach Access To Health	3577743764	103

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 I Doris allows following entities to bill medicare on her behalf.

Entity Name	Honorhealth Medical Group, Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1043851793 PECOS PAC ID: 1557274057 Enrollment ID: O20031119000717

Entity Name	Honorhealth Ambulatory
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1407050917 PECOS PAC ID: 5991603110 Enrollment ID: O20071005000449

Entity Name	Neighborhood Outreach Access To Health
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1942518550 PECOS PAC ID: 3577743764 Enrollment ID: O20110204000504

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 I Doris 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 I Doris, MD 2500 W Utopia Rd, Ste. 100, Phoenix, AZ 85027-4171 Ph: (602) 214-6148	Jacqueline I Doris, MD 4131 N 24th St, B-102, Phoenix, AZ 85016-6262 Ph: (602) 955-6632

Reviews and Comments

Family Medicine Doctors in Phoenix, AZ

Dr. Serena Dawn Woods-grimm, M.D. Family Medicine Medicare: Medicare Enrolled Practice Location: 201 N Central Ave, Phoenix, AZ 85004 Phone: 602-221-6326
Michael Devin Taylor, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2927 N 7th Ave, Peppertree - Family Medicine #3, Phoenix, AZ 85013 Phone: 602-406-3153 Fax: 602-406-4122
Dr. Umar Iqbal, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2927 N 7th Ave, Peppertree Building - Window #3, Phoenix, AZ 85013 Phone: 602-406-3153 Fax: 602-406-7176
Jessica Ann Wright, PA-C Family Medicine Medicare: Medicare Enrolled Practice Location: 1919 E Thomas Rd, Phoenix, AZ 85016 Phone: 602-933-1000
Meggan E Bauer, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 4250 E Camelback Rd Ste K100, Phoenix, AZ 85018 Phone: 602-224-9218
Dr. James W. Fisher, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 12450 N 32nd St Ste 3, Phoenix, AZ 85032 Phone: 602-996-0924 Fax: 602-482-2624
Geoffrey Peter Radoff, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2525 West Greenway, Suite 210, Phoenix, AZ 85023 Phone: 602-993-0200 Fax: 602-993-0207

Jacqueline I Doris, MD - Medicare Family Practice in Phoenix, AZ