Jacqueline Renee Booth, MD in Oak Ridge, TN

Jacqueline Renee Booth, MD is a medicare enrolled "Otolaryngology - Plastic Surgery Within The Head & Neck" physician in Oak Ridge, Tennessee. Her current practice location is 800 Oak Ridge Tpke Ste C100, Oak Ridge, Tennessee. You can reach out to her office (for appointments etc.) via phone at (865) 483-2288.

Jacqueline Renee Booth is licensed to practice in Tennessee (license number 74273) 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 Renee Booth, MD
	800 Oak Ridge Tpke Ste C100, Oak Ridge, TN 37830-6927
	(865) 483-2288
	(865) 482-4400

Map and Direction

Physician's Profile

Full Name	Jacqueline Renee Booth
Gender	Female
Speciality	Otolaryngology - Plastic Surgery Within The Head & Neck
Location	800 Oak Ridge Tpke Ste C100, Oak Ridge, Tennessee
Accepts Medicare Assignments	Medicare 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: 08/22/2025

Medicare PECOS Information:

PECOS PAC ID: 5698040202
Enrollment ID: I20220405002181

Medical Identifiers

Medical identifiers for Jacqueline Renee Booth such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1083143671	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207Y00000X	Otolaryngology	009101 (Georgia)	Secondary
207YX0007X	Otolaryngology - Plastic Surgery Within The Head & Neck	74273 (Tennessee)	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 Renee Booth allows following entities to bill medicare on her behalf.

Entity Name	Rousso Facial Plastic Surgery Clinic Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1225140627 PECOS PAC ID: 2365401478 Enrollment ID: O20041005000828

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 Renee 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 Address	Practice Location Address
Jacqueline Renee Booth, MD 800 Oak Ridge Tpke Ste C100, Oak Ridge, TN 37830-6927 Ph: (865) 483-2288	Jacqueline Renee Booth, MD 800 Oak Ridge Tpke Ste C100, Oak Ridge, TN 37830-6927 Ph: (865) 483-2288

Reviews and Comments

Otolaryngology Doctors in Oak Ridge, TN

John F Jernigan, M.D. Otolaryngology Medicare: Not Enrolled in Medicare Practice Location: 800 Oak Ridge Tpke, Suite C-100, Oak Ridge, TN 37830 Phone: 865-423-8822 Fax: 865-482-4400
Richard L Schultz, M.D. Otolaryngology Medicare: Not Enrolled in Medicare Practice Location: 800 Oak Ridge Tpke, Suite C-100, Oak Ridge, TN 37830 Phone: 865-483-2288 Fax: 865-482-4400
Dr. Brynae Laxton Miley, MD Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 800 Oak Ridge Tpke, Suite C-100, Oak Ridge, TN 37830 Phone: 865-483-2288 Fax: 865-482-4400
Charles G Sewall, M.D. Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 800 Oak Ridge Tpke, Suite C-100, Oak Ridge, TN 37830 Phone: 865-483-2288 Fax: 865-482-4400
Dr. Frederick A Bunge, M.D. Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 800 Oak Ridge Tpke, Suite C 100, Oak Ridge, TN 37830 Phone: 865-483-2288 Fax: 865-482-4400

Jacqueline Renee Booth, MD - Medicare Otolaryngology in Oak Ridge, TN