Mrs Jacqueline Anne Baselice, MD in Dover, NH - Medicare Obstetrics/gynecology

Mrs Jacqueline Anne Baselice, MD is a medicare enrolled "Obstetrics & Gynecology" physician in Dover, New Hampshire. She went to Georgetown University School Of Medicine and graduated in 2005 and has 19 years of diverse experience with area of expertise as Obstetrics/gynecology. She is a member of the group practice Wentworth Douglass Physician Corporation and her current practice location is 15 Old Rollinsford Rd Ste 102, Dover, New Hampshire. You can reach out to her office (for appointments etc.) via phone at (603) 749-4963.

Mrs Jacqueline Anne Baselice is licensed to practice in New Hampshire (license number 14486) 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 1952448300.

Contact Information

	Mrs Jacqueline Anne Baselice, MD
	15 Old Rollinsford Rd Ste 102, Dover, NH 03820
	(603) 749-4963
	(603) 742-7094

Map and Direction

Physician's Profile

Full Name	Mrs Jacqueline Anne Baselice
Gender	Female
Speciality	Obstetrics/gynecology
Experience	19 Years
Location	15 Old Rollinsford Rd Ste 102, Dover, New Hampshire
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:

Mrs Jacqueline Anne Baselice attended and graduated from Georgetown University School Of Medicine in 2005

NPI Data:

NPI Number: 1952448300
Provider Enumeration Date: 02/01/2007
Last Update Date: 07/23/2018

Medicare PECOS Information:

PECOS PAC ID: 1759436454
Enrollment ID: I20090902000015

Medical Identifiers

Medical identifiers for Mrs Jacqueline Anne Baselice such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1952448300	NPI	-	NPPES
3074367	Medicaid	NH

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207V00000X	Obstetrics & Gynecology	14486 (New Hampshire)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Wentworth-douglass Hospital	Dover, NH	Hospital
Exeter Hospital Inc	Exeter, NH	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Wentworth Douglass Physician Corporation	5496749848	372

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. Mrs Jacqueline Anne Baselice allows following entities to bill medicare on her behalf.

Entity Name	Wentworth Douglass Physician Corporation
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1447352430 PECOS PAC ID: 5496749848 Enrollment ID: O20040409000433

Entity Name	Greater Seacoast Community Health
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1578854287 PECOS PAC ID: 2769454974 Enrollment ID: O20040809000966

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. Mrs Jacqueline Anne Baselice 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
Mrs Jacqueline Anne Baselice, MD 789 Central Ave, Dover, NH 03820-2526 Ph: (603) 749-4963	Mrs Jacqueline Anne Baselice, MD 15 Old Rollinsford Rd Ste 102, Dover, NH 03820 Ph: (603) 749-4963

Reviews and Comments

Obstetrics & Gynecology Doctors in Dover, NH

Melissa Mcgann, D.O. Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 700 Central Ave, Dover, NH 03820 Phone: 603-742-2424 Fax: 603-742-1763
Elizabeth C Chase, M.D. Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 770 Central Ave, Dover, NH 03820 Phone: 603-742-0101 Fax: 603-743-3171
Janet Perkins-howland, M.D. Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 770 Central Ave, Dover, NH 03820 Phone: 603-742-0101 Fax: 603-743-3171
Dr. Joycelyn Helene Vardo, DO Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 700 Central Ave, Dover, NH 03820 Phone: 603-742-2424
Cynthia S Cooper, MD Obstetrics & Gynecology Medicare: Not Enrolled in Medicare Practice Location: 15 Old Rollinsford Rd, Suite 102, Dover, NH 03820 Phone: 603-749-4963 Fax: 603-742-7094
Anne Hosley Kalter, MD Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 15 Old Rollinsford Rd, Suite 102, Dover, NH 03820 Phone: 603-749-4963 Fax: 603-742-7094
Megan Beaton, D.O. Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 770 Central Ave, Dover, NH 03820 Phone: 603-742-0101

Mrs Jacqueline Anne Baselice, MD - Medicare Obstetrics/gynecology in Dover, NH