Jacquelyn Kang, MD is a medicare enrolled "Otolaryngology" physician in Leeds, Massachusetts. Her current practice location is
421 N Main St, Leeds, Massachusetts. You can reach out to her office (for appointments etc.) via phone at
(413) 584-4040.
Jacquelyn Kang is licensed to practice in Massachusetts (license number 217113) 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 1033104328.
Physician's Profile
| Full Name | Jacquelyn Kang |
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| Gender | Female |
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| Speciality | Otolaryngology |
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| Location | 421 N Main St, Leeds, Massachusetts |
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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: 1033104328
- Provider Enumeration Date: 09/13/2005
- Last Update Date: 05/28/2024
Medicare PECOS Information:
- PECOS PAC ID: 6305820887
- Enrollment ID: I20040614000840
Medical Identifiers
Medical identifiers for Jacquelyn Kang such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1033104328 | NPI | - | NPPES |
| 2018675 | Medicaid | MA | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 207Y00000X | Otolaryngology | 217113 (Massachusetts) | 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. Jacquelyn Kang allows following entities to bill medicare on her behalf.
| Entity Name | Ear Nose & Throat Surgeons Of Western New England Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1386685881 PECOS PAC ID: 5991746265 Enrollment ID: O20050517000532 |
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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. Jacquelyn Kang 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 |
Jacquelyn Kang, MD 421 N Main St, Leeds, MA 01053-9764 Ph: (413) 584-4040 | Jacquelyn Kang, MD 421 N Main St, Leeds, MA 01053-9764 Ph: (413) 584-4040 |
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