Jacquelyn Doxie King, PHD is a medicare enrolled "Clinical Neuropsychologist" provider in Kailua Kona, Hawaii. Her current practice location is
75-5751 Kuakini Hwy, Kailua Kona, Hawaii. You can reach out to her office (for appointments etc.) via phone at
(808) 326-5629.
Jacquelyn Doxie King is licensed to practice in Hawaii (license number PSY-2040) 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 1447792585.
Healthcare Provider's Profile
| Full Name | Jacquelyn Doxie King |
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| Gender | Female |
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| Speciality | Clinical Neuropsychologist |
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| Location | 75-5751 Kuakini Hwy, Kailua Kona, Hawaii |
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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: 1447792585
- Provider Enumeration Date: 11/07/2016
- Last Update Date: 05/20/2025
Medicare PECOS Information:
- PECOS PAC ID: 4587062559
- Enrollment ID: I20211005001879
Medical Identifiers
Medical identifiers for Jacquelyn Doxie King such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1447792585 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 103TC0700X | Psychologist - Clinical | PSY-2040 (Hawaii) | Secondary |
| 103G00000X | Clinical Neuropsychologist | PSY-2040 (Hawaii) | 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 Doxie King allows following entities to bill medicare on her behalf.
| Entity Name | Pediatric Academic Association, Inc. |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1063419943
PECOS PAC ID: 2961306774
Enrollment ID: O20031124000198 |
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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 Doxie King 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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Jacquelyn Doxie King, PHD
700 Childrens Dr,
Columbus, OH 43205-2664
Ph: () - | Jacquelyn Doxie King, PHD
75-5751 Kuakini Hwy,
Kailua Kona, HI 96740-1752
Ph: (808) 326-5629 |
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