Dr Jacqueline Marie Fox, DDS is a
Student In An Organized Health Care Education/training Program based in Columbus, Ohio. Dr Jacqueline Marie Fox is licensed to practice in Ohio (license number RES.004951) and her current practice location is
305 W 12th Ave Fl 2, Columbus, Ohio. She can be reached at her office (for appointments etc.) via phone at
(614) 292-2622.
NPI number for Dr Jacqueline Marie Fox is 1245123843 and her current mailing address is 10954 Cold Spring Dr, Centerville, Ohio. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1245123843.
Healthcare Provider's Profile
| Full Name | Dr Jacqueline Marie Fox |
|---|
| Gender | Female |
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| Speciality | Student In An Organized Health Care Education/training Program |
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| Location | 305 W 12th Ave Fl 2, Columbus, Ohio |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1245123843
- Provider Enumeration Date: 06/02/2025
- Last Update Date: 06/02/2025
Medical Identifiers
Medical identifiers for Dr Jacqueline Marie Fox such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1245123843 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 122300000X | Dentist | RES.004951 (Ohio) | Secondary |
| 390200000X | Student In An Organized Health Care Education/training Program | RES.004951 (Ohio) | 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 Marie Fox is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Dr Jacqueline Marie Fox, DDS
10954 Cold Spring Dr,
Centerville, OH 45458-4515
Ph: (937) 694-6875 | Dr Jacqueline Marie Fox, DDS
305 W 12th Ave Fl 2,
Columbus, OH 43210-1267
Ph: (614) 292-2622 |
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