Jackie Lee Quach, MD in Marion, OH

Jackie Lee Quach, MD is a medicare enrolled "Pediatrics" physician in Marion, Ohio. Her current practice location is 1040 Delaware Ave, Marion, Ohio. You can reach out to her office (for appointments etc.) via phone at (740) 383-8090.

Jackie Lee Quach is licensed to practice in Ohio (license number 35.121203) 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 1396096418.

Contact Information

	Jackie Lee Quach, MD
	1040 Delaware Ave, Marion, OH 43302-6416
	(740) 383-8090
	(740) 375-6481

Map and Direction

Physician's Profile

Full Name	Jackie Lee Quach
Gender	Female
Speciality	Pediatrics
Location	1040 Delaware Ave, Marion, Ohio
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1396096418
Provider Enumeration Date: 09/28/2012
Last Update Date: 12/15/2021

Medicare PECOS Information:

PECOS PAC ID: 2264674134
Enrollment ID: I20130806000918

Medical Identifiers

Medical identifiers for Jackie Lee Quach such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1396096418	NPI	-	NPPES
0087085	Medicaid	OH

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208000000X	Pediatrics	A119861 (California)	Secondary
208000000X	Pediatrics	35.121203 (Ohio)	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. Jackie Lee Quach allows following entities to bill medicare on her behalf.

Entity Name	Ohiohealth Corporation
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1578545273 PECOS PAC ID: 6305758426 Enrollment ID: O20031105000532

Entity Name	Marion Area Physicians Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1619230802 PECOS PAC ID: 1850549437 Enrollment ID: O20120925000053

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. Jackie Lee Quach 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
Jackie Lee Quach, MD # L-3652, Columbus, OH 43260-6453 Ph: (740) 383-7927	Jackie Lee Quach, MD 1040 Delaware Ave, Marion, OH 43302-6416 Ph: (740) 383-8090

Reviews and Comments

Pediatrics Doctors in Marion, OH

Dr. Richard Jonah Flaksman, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 1040 Delaware Ave, Marion, OH 43302 Phone: 740-383-7936 Fax: 740-375-8174
Syed Azim Bukhari, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 1073 Harding Memorial Pkwy, Suite A, Marion, OH 43302 Phone: 740-383-8579 Fax: 740-387-5244
Beth Ann Baisden, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 1000 Mckinley Park Dr, Marion, OH 43302 Phone: 740-383-8400
Steven Lee, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 1040 Delaware Aveneue, Marion, OH 43301 Phone: 740-383-8090 Fax: 740-383-7079
Leonard J Janchar, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 181 S Main St, Marion, OH 43302 Phone: 740-383-7927 Fax: 740-383-7942
Walter Jonathan Friedley, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 1040 Delaware Aveneue, Marion, OH 43301 Phone: 740-383-8090 Fax: 740-375-6481

Jackie Lee Quach, MD - Medicare Pediatrics in Marion, OH