Dr Jacqueline Johnette Brown, DDS is a medicare enrolled "Dentist" provider in Boykins, Virginia. Her current practice location is
18197 Virginia Ave, Boykins, Virginia. You can reach out to her office (for appointments etc.) via phone at
(757) 654-6226.
Dr Jacqueline Johnette Brown is licensed to practice in Virginia (license number 0401413387) 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 1639456825.
Healthcare Provider's Profile
| Full Name | Dr Jacqueline Johnette Brown |
|---|
| Gender | Female |
|---|
| Speciality | Dentist |
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| Location | 18197 Virginia Ave, Boykins, Virginia |
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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: 1639456825
- Provider Enumeration Date: 11/16/2011
- Last Update Date: 04/10/2026
Medicare PECOS Information:
- PECOS PAC ID: 7517243116
- Enrollment ID: I20170414000222
Medical Identifiers
Medical identifiers for Dr Jacqueline Johnette Brown such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1639456825 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 122300000X | Dentist | 0401413387 (Virginia) | Primary |
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. Dr Jacqueline Johnette Brown 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 |
Dr Jacqueline Johnette Brown, DDS 18197 Virginia Ave, Boykins, VA 23827-2767 Ph: (757) 654-6226 | Dr Jacqueline Johnette Brown, DDS 18197 Virginia Ave, Boykins, VA 23827-2767 Ph: (757) 654-6226 |
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