Ms Monique Lee Jaquith, PA-C is a medicare enrolled "Family Medicine" in Plantation, Florida. Her current practice location is
600 S Pine Island Rd, Suite 104, Plantation, Florida. You can reach out to her office (for appointments etc.) via phone at
(954) 474-4401.
Ms Monique Lee Jaquith is licensed to practice in Florida (license number PA9106387) 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 1649546870.
Provider's Profile
| Full Name | Ms Monique Lee Jaquith |
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| Gender | Female |
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| Speciality | Family Medicine |
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| Location | 600 S Pine Island Rd, Plantation, Florida |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1649546870
- Provider Enumeration Date: 04/02/2012
- Last Update Date: 05/17/2021
Medicare PECOS Information:
- PECOS PAC ID: 4789818881
- Enrollment ID: I20131003000131
Medical Identifiers
Medical identifiers for Ms Monique Lee Jaquith such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1649546870 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 363AM0700X | Physician Assistant - Medical | PA9106387 (Florida) | Secondary |
| 207Q00000X | Family Medicine | PA9106387 (Florida) | 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. Ms Monique Lee Jaquith allows following entities to bill medicare on her behalf.
| Entity Name | Emergency Medicine Services of FL LLC |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1043917180
PECOS PAC ID: 8426413931
Enrollment ID: O20230504001881 |
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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. Ms Monique Lee Jaquith 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 |
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Ms Monique Lee Jaquith, PA-C
600 S Pine Island Rd, Suite 104,
Plantation, FL 33324-3166
Ph: (954) 474-4401 | Ms Monique Lee Jaquith, PA-C
600 S Pine Island Rd, Suite 104,
Plantation, FL 33324-3166
Ph: (954) 474-4401 |
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