Jacqueline Proudfoot, MD, MPH is a medicare enrolled "Family Medicine" physician in Belfair, Washington. She went to Tufts University School Of Medicine and graduated in 2014 and has 12 years of diverse experience with area of expertise as Family Practice. She is a member of the group practice Peninsula Community Health Services and her current practice location is
31 Ne State Route 300 Ste 200, Belfair, Washington. You can reach out to her office (for appointments etc.) via phone at
(360) 377-3776.
Jacqueline Proudfoot is licensed to practice in Washington (license number 60999446) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1407261001.
Physician's Profile
| Full Name | Jacqueline Proudfoot |
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| Gender | Female |
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| Speciality | Family Practice |
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| Experience | 12 Years |
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| Location | 31 Ne State Route 300 Ste 200, Belfair, Washington |
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| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Medical Education and Training:
- Jacqueline Proudfoot attended and graduated from Tufts University School Of Medicine in 2014
NPI Data:
- NPI Number: 1407261001
- Provider Enumeration Date: 06/23/2014
- Last Update Date: 03/07/2022
Medicare PECOS Information:
- PECOS PAC ID: 6901198167
- Enrollment ID: I20191226001111
Medical Identifiers
Medical identifiers for Jacqueline Proudfoot such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1407261001 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 207Q00000X | Family Medicine | A141233 (California) | Secondary |
| 390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | Secondary |
| 207Q00000X | Family Medicine | 60999446 (Washington) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
| Peninsula Community Health Services | 9436044781 | 53 |
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 Proudfoot allows following entities to bill medicare on her behalf.
| Entity Name | Peninsula Community Health Services |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1982654182 PECOS PAC ID: 9436044781 Enrollment ID: O20040217000362 |
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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 Proudfoot 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 Proudfoot, MD, MPH 400 Warren Ave Ste 200, Bremerton, WA 98337-1467 Ph: (360) 377-3776 | Jacqueline Proudfoot, MD, MPH 31 Ne State Route 300 Ste 200, Belfair, WA 98528-8668 Ph: (360) 377-3776 |
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