Jacqueline Victoria Dugan, PA-C is a medicare enrolled "Physician Assistant" in Ava, Missouri. Her current practice location is
120 W Lincoln Ave, Ava, Missouri. You can reach out to her office (for appointments etc.) via phone at
(417) 683-6790.
Jacqueline Victoria Dugan is licensed to practice in Missouri (license number 2024042522) 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 1063124956.
Provider's Profile
| Full Name | Jacqueline Victoria Dugan |
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| Gender | Female |
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| Speciality | Physician Assistant |
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| Location | 120 W Lincoln Ave, Ava, Missouri |
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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: 1063124956
- Provider Enumeration Date: 12/22/2022
- Last Update Date: 06/16/2026
Medicare PECOS Information:
- PECOS PAC ID: 1355714791
- Enrollment ID: I20230306000287
Medical Identifiers
Medical identifiers for Jacqueline Victoria Dugan such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1063124956 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 363A00000X | Physician Assistant | 2024042522 (Missouri) | Primary |
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 Victoria Dugan 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 Victoria Dugan, PA-C 1674 Folly Rd Apt 108, Charleston, SC 29412-8701 Ph: (417) 299-3550 | Jacqueline Victoria Dugan, PA-C 120 W Lincoln Ave, Ava, MO 65608-5567 Ph: (417) 683-6790 |
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