Jacqueline Proudfoot, MD, MPH in Belfair, WA

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.

Contact Information

	Jacqueline Proudfoot, MD, MPH
	31 Ne State Route 300 Ste 200, Belfair, WA 98528-8668
	(360) 377-3776
	Not Available

Map and Direction

Physician's Profile

Full Name	Jacqueline Proudfoot
Gender	Female
Speciality	Family Medicine
Location	31 Ne State Route 300 Ste 200, Belfair, Washington
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	Providence Medical Foundation
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1285890624 PECOS PAC ID: 8921993205 Enrollment ID: O20040216001346

Entity Name	Open Door Community Health Centers
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1497840656 PECOS PAC ID: 9436067485 Enrollment ID: O20040414000890

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

Reviews and Comments

Family Medicine Doctors in Belfair, WA

Ms. Hannah Elizabeth Booth Erickson, PA-C Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 31 Ne State Route 300, Belfair, WA 98528 Phone: 360-377-3776
Dr. Lane W Johnson, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 241 E Pathfinders Dr, Belfair, WA 98528 Phone: 360-275-4927
Troy Slover, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 31 Ne Route 300 Suite 200, Belfair, WA 98258 Phone: 360-377-3779 Fax: 360-373-2096

Jacqueline Proudfoot, MD, MPH - Medicare Family Medicine in Belfair, WA