JACQUELINE DALLAIRE MD
NPI 1891218863
Obstetrics & Gynecology in Charleston, SC

Q: What is Jacqueline Dallaire's NPI number?

The NPI number for Jacqueline Dallaire is 1891218863. It was assigned to this individual provider in the NPPES registry on July 21, 2017.

Q: What is Jacqueline Dallaire's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

Active since July 21, 2017PECOS EnrolledAccepts Medicare Assignment

169 ASHLEY AVE, CHARLESTON, SC 29425(843) 792-4500 Get Directions Write a Review

NPPES record last updated: May 19, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: May 19, 2020, Jul 21, 2017 (2 updates tracked since 2017).

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About Jacqueline Dallaire Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JACQUELINE DALLAIRE MD (NPI 1891218863) is an individual obstetrics & gynecology provider in Charleston, South Carolina, licensed in South Carolina (LL84080) and active in the NPI registry since July 2017. She is enrolled in Medicare PECOS, is affiliated with West Jersey Hospital, and is a graduate of Emory University School Of Medicine (2020).

NPPES Registry Identity

NPI1891218863

Entity TypeIndividualFemale

Primary Taxonomy207V00000X

Provider Legal NameJACQUELINE DALLAIRECredential: MD

Location Address169 ASHLEY AVECharleston, SC 29425-1059

Mailing Address169 Ashley Avenue, Room 202 Main Hospital, Msc333Charleston, SC 29425 · (843) 792-4500

Phone(843) 792-4500

Sole ProprietorNo

Medical School CMSEmory University School Of MedicineGraduated 2020

Enumeration DateJuly 21, 2017

Last NPPES UpdateMay 19, 20202 updates tracked since enumeration

NPPES CertifiedMay 19, 2020

✔ NPI 1891218863 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians

Taxonomy Code207V00000X

License✔ Licensed in SC · LL84080

Definition

An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X

169 ASHLEY AVE, Charleston, SC 29425

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Jacqueline Dallaire Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID5092134676

PECOS Enrollment IDI20240717002843

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 2

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Cervical or vaginal cancer screening; pelvic and clinical breast examination G0101

This procedure involves checking for health issues in the lower abdomen and chest area. It helps identify early signs of certain conditions, increasing the chance for successful treatment. It's a routine check-up that's important for maintaining good health.

20 services20 patients

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

17 services16 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

West Jersey Hospital

Acute Care Hospitals · Voorhees, NJ

2/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number310022

Location100 Bowman DriveVoorhees, NJ 08043 · Camden County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 29425 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$124.04 typical visit price

range $53.57 – $163.84

Typical copayment $31.01 (range $13.39 – $40.96)

Most-billed visit code 99204

Established Patient

$67.12 typical visit price

range $16.96 – $133.52

Typical copayment $16.78 (range $4.24 – $33.38)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MR. BRUCE ALAN REEVES PT

Physical Therapist (Orthopedic)

169 ASHLEY AVE, ROOM, 3SW WING
CHARLESTON, SC 29425

Charleston County (843) 792-3481

KRISTINA CALAMIA

Health and Wellness Coach

169 ASHLEY AVE
CHARLESTON, SC 29425

Charleston County (843) 792-3881

EMILY MCGILL MD

Anesthesiology

169 ASHLEY AVE
CHARLESTON, SC 29425

Charleston County (843) 792-2185

PAIGE WOODHAM M.D.

Pathology (Anatomic Pathology & Clinical Pathology)

169 ASHLEY AVE, ROOM 202 MAIN HOSPITAL MSC333
CHARLESTON, SC 29425

Charleston County (843) 792-1086

KATIE FLOWER M.D.

Surgery

169 ASHLEY AVE, ROOM 202 MAIN HOSPITAL
CHARLESTON, SC 29425

Charleston County (216) 385-5459

JENNIE HYEJIN KWON MD

Surgery

169 ASHLEY AVE
CHARLESTON, SC 29425

Charleston County (843) 792-3072

DR. BRIAN ELLIS JACOBS MD

Surgery

169 ASHLEY AVE
CHARLESTON, SC 29425

Charleston County (843) 792-1414

HANNAH ELIZABETH PRESSLER

Internal Medicine

169 ASHLEY AVE
CHARLESTON, SC 29425

Charleston County (843) 754-7275

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jacqueline Dallaire's NPI number?

The NPI number for Jacqueline Dallaire is 1891218863. It was assigned to this individual provider in the NPPES registry on July 21, 2017.

Where is Jacqueline Dallaire located?

Jacqueline Dallaire practices at 169 Ashley Ave, Charleston, SC 29425. The listed phone number is (843) 792-4500.

What is Jacqueline Dallaire's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

Is Jacqueline Dallaire enrolled in Medicare?

Yes. Jacqueline Dallaire is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Is Jacqueline Dallaire affiliated with any hospitals?

According to CMS data, Jacqueline Dallaire is affiliated with West Jersey Hospital.

When was this NPI record last updated?

The NPPES record for Jacqueline Dallaire was last updated on May 19, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.