Jacqueline M Phillips, MD is a medicare enrolled "Pediatrics" physician in Woodside, California. Her current practice location is
2979 Woodside Road, Woodside, California. You can reach out to her office (for appointments etc.) via phone at
(650) 851-4747.
Jacqueline M Phillips is licensed to practice in California (license number A125544) 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 1669763702.
Physician's Profile
Full Name | Jacqueline M Phillips |
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Gender | Female |
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Speciality | Pediatrics |
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Location | 2979 Woodside Road, Woodside, California |
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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: 1669763702
- Provider Enumeration Date: 04/24/2011
- Last Update Date: 09/10/2018
Medicare PECOS Information:
- PECOS PAC ID: 4789815622
- Enrollment ID: I20140318001862
Medical Identifiers
Medical identifiers for Jacqueline M Phillips such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1669763702 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
208000000X | Pediatrics | A125544 (California) | 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 M Phillips allows following entities to bill medicare on her behalf.
Entity Name | County Of Los Angeles |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1851363188 PECOS PAC ID: 1850296534 Enrollment ID: O20031204001218 |
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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 M Phillips 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 M Phillips, MD 2979 Woodside Rd, Woodside, CA 94062-2443 Ph: (650) 851-4747 | Jacqueline M Phillips, MD 2979 Woodside Road, Woodside, CA 94062 Ph: (650) 851-4747 |
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