Jacqueline W Depasse, MD in Philadelphia, PA

Jacqueline W Depasse, MD is a medicare enrolled "Hospitalist" physician in Philadelphia, Pennsylvania. Her current practice location is 800 Spruce St, Philadelphia, Pennsylvania. You can reach out to her office (for appointments etc.) via phone at (215) 829-7817.

Jacqueline W Depasse is licensed to practice in Pennsylvania (license number MD463333) 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 1275895609.

Contact Information

	Jacqueline W Depasse, MD
	800 Spruce St, Philadelphia, PA 19107
	(215) 829-7817
	Not Available

Map and Direction

Physician's Profile

Full Name	Jacqueline W Depasse
Gender	Female
Speciality	Hospitalist
Location	800 Spruce St, Philadelphia, Pennsylvania
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1275895609
Provider Enumeration Date: 06/12/2012
Last Update Date: 05/24/2018

Medicare PECOS Information:

PECOS PAC ID: 7315191814
Enrollment ID: I20180606000509

Medical Identifiers

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

Identifier	Type	State	Issuer
1275895609	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207R00000X	Internal Medicine	MD14920 (Rhode Island)	Secondary
208M00000X	Hospitalist	MD463333 (Pennsylvania)	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 W Depasse allows following entities to bill medicare on her behalf.

Entity Name	Clinical Care Associates Of The University Of Pennsylvania Health
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1972682995 PECOS PAC ID: 4688588866 Enrollment ID: O20031113000301

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 W Depasse 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 W Depasse, MD 800 Spruce St, Philadelphia, PA 19107-6130 Ph: (215) 829-7817	Jacqueline W Depasse, MD 800 Spruce St, Philadelphia, PA 19107 Ph: (215) 829-7817

Reviews and Comments

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Jacqueline W Depasse, MD - Medicare Hospitalist in Philadelphia, PA