Jacqueline Proudfoot, MD, MPH is a medicare enrolled "Family Medicine" physician in Belfair, Washington. Her current practice location is
31 Ne State Route 300 Ste 200, Belfair, Washington. You can reach out to her office (for appointments etc.) via phone at
(360) 377-3776.
Jacqueline Proudfoot is licensed to practice in Washington (license number 60999446) 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 1407261001.
Physician's Profile
Full Name | Jacqueline Proudfoot |
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Gender | Female |
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Speciality | Family Medicine |
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Location | 31 Ne State Route 300 Ste 200, Belfair, Washington |
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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: 1407261001
- Provider Enumeration Date: 06/23/2014
- Last Update Date: 03/07/2022
Medicare PECOS Information:
- PECOS PAC ID: 6901198167
- Enrollment ID: I20170825003001
Medical Identifiers
Medical identifiers for Jacqueline Proudfoot such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1407261001 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207Q00000X | Family Medicine | A141233 (California) | Secondary |
390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | Secondary |
207Q00000X | Family Medicine | 60999446 (Washington) | 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 Proudfoot allows following entities to bill medicare on her behalf.
Entity Name | Open Door Community Health Centers |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1497840656 PECOS PAC ID: 9436067485 Enrollment ID: O20040414000890 |
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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 Proudfoot 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 Proudfoot, MD, MPH 400 Warren Ave Ste 200, Bremerton, WA 98337-1467 Ph: (360) 377-3776 | Jacqueline Proudfoot, MD, MPH 31 Ne State Route 300 Ste 200, Belfair, WA 98528-8668 Ph: (360) 377-3776 |
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