Jacqueline Booth, MD - Medicare Otolaryngology in Augusta, GA

Jacqueline Booth, MD is a medicare enrolled "Otolaryngology" physician in Augusta, Georgia. Her current practice location is 1120 15th St, Augusta, Georgia. You can reach out to her office (for appointments etc.) via phone at (928) 460-3992.

Jacqueline Booth is licensed to practice in Georgia (license number 009101) 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 1083143671.

Contact Information

Jacqueline Booth, MD
1120 15th St,
Augusta, GA 30912
(928) 460-3992
Not Available



Physician's Profile

Full NameJacqueline Booth
GenderFemale
SpecialityOtolaryngology
Location1120 15th St, Augusta, Georgia
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1083143671
  • Provider Enumeration Date: 06/07/2017
  • Last Update Date: 06/07/2017
  Medicare PECOS Information:
  • PECOS PAC ID: 5698040202
  • Enrollment ID: I20220405002181

Medical Identifiers

Medical identifiers for Jacqueline Booth such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1083143671NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Y00000XOtolaryngology 009101 (Georgia)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 Booth allows following entities to bill medicare on her behalf.
Entity NameRousso Facial Plastic Surgery Clinic Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1225140627
PECOS PAC ID: 2365401478
Enrollment ID: O20041005000828

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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 Booth 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 AddressPractice Location Address
Jacqueline Booth, MD
1120 15th St,
Augusta, GA 30912-0004

Ph: () -
Jacqueline Booth, MD
1120 15th St,
Augusta, GA 30912

Ph: (928) 460-3992

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Otolaryngology Doctors in Augusta, GA

Dr. William H Moretz, MD
Otolaryngology
Medicare: Accepting Medicare Assignments
Practice Location: 818 Saint Sebastian Way, Suite 204, Augusta, GA 30901
Phone: 706-724-0668    Fax: 706-724-1124
Dr. Hachem Jammal, MD
Otolaryngology
Medicare: Not Enrolled in Medicare
Practice Location: 1120 15th St, Augusta, GA 30912
Phone: 706-721-4400    
Forest Weir,
Otolaryngology
Medicare: Medicare Enrolled
Practice Location: 1120 15th St, Augusta, GA 30912
Phone: 706-721-8623    Fax: 706-721-1459
Dr. Brandon Tapasak, MD
Otolaryngology
Medicare: Medicare Enrolled
Practice Location: 1120 15th Street Bp-4109, Augusta, GA 30912
Phone: 706-721-6100    
Achih Hung-chih Chen, MD
Otolaryngology
Medicare: Medicare Enrolled
Practice Location: 1120 15th St, Augusta, GA 30912
Phone: 706-721-4400    Fax: 706-721-0112
Ahmad Mohamed Eltelety, MD-PHD
Otolaryngology
Medicare: Medicare Enrolled
Practice Location: 1120 15th St, Augusta, GA 30912
Phone: 864-800-2913    

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