Mr Jerome Miranda Wicker, - Medicare Counselor in Greenville, SC

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Mr Jerome Miranda Wicker, is a medicare enrolled "Counselor" provider in Greenville, South Carolina. His current practice location is 124 Mallard St, Greenville, South Carolina. You can reach out to his office (for appointments etc.) via phone at (864) 241-1040.

Mr Jerome Miranda Wicker is licensed to practice in * (Not Available) (license number ) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1811430408.

Contact Information

Mr Jerome Miranda Wicker,
124 Mallard St,
Greenville, SC 29601-4046
(864) 241-1040
(864) 241-8189

Map and Direction


Healthcare Provider's Profile

Full NameMr Jerome Miranda Wicker
GenderMale
SpecialityCounselor
Location124 Mallard St, Greenville, South Carolina
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1811430408
  • Provider Enumeration Date: 11/30/2016
  • Last Update Date: 11/30/2016
  Medicare PECOS Information:
  • PECOS PAC ID: 4789020702
  • Enrollment ID: I20240313001807

Medical Identifiers

Medical identifiers for Mr Jerome Miranda Wicker such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1811430408NPI-NPPES
301100MedicaidSC

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
101Y00000XCounselor (* (Not Available))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. Mr Jerome Miranda Wicker allows following entities to bill medicare on his behalf.
Entity NameRegenesis Organization Community Health Center
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1194710426
PECOS PAC ID: 8022928001
Enrollment ID: O20050127000120
Entity NameRegenesis Organization Community Health Center
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1548528714
PECOS PAC ID: 8022928001
Enrollment ID: O20160816002916
Entity NameRegenesis Organization Community Health Center
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1457745952
PECOS PAC ID: 8022928001
Enrollment ID: O20170127000968
Entity NameRegenesis Organization Community Health Center
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1982248852
PECOS PAC ID: 8022928001
Enrollment ID: O20210120001241
Entity NameRegenesis Organization Community Health Center
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1558946376
PECOS PAC ID: 8022928001
Enrollment ID: O20220630000562

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. Mr Jerome Miranda Wicker 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 AddressPractice Location Address
Mr Jerome Miranda Wicker,
124 Mallard St,
Greenville, SC 29601-4046

Ph: (864) 241-1040		Mr Jerome Miranda Wicker,
124 Mallard St,
Greenville, SC 29601-4046

Ph: (864) 241-1040

Reviews and Comments


Counselor in Greenville, SC

Ms. Jessicka Spearman Childs, LPCA
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Practice Location: 205 Farrs Bridge Rd, Greenville, SC 29617
Phone: 864-383-0384    
Andrew James Tallarico,
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Practice Location: 1400 Cleveland St, Greenville, SC 29607
Phone: 864-467-3790    
Alondria Goode,
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Practice Location: 1708 Augusta St Ste C226, Greenville, SC 29605
Phone: 864-206-9309    
Alyssa Cherise Livanos, MA
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Medicare: Not Enrolled in Medicare
Practice Location: 405 Pettigru St, Greenville, SC 29601
Phone: 864-271-3549    
Nicole Mckinney, MS, LPC, CSOTS
Counselor
Medicare: Not Enrolled in Medicare
Practice Location: 2510 Wade Hampton Blvd, Greenville, SC 29615
Phone: 864-509-0774    
Jordan Sartain,
Counselor
Medicare: Not Enrolled in Medicare
Practice Location: 124 Mallard St, Greenville, SC 29601
Phone: 864-241-1040    
Jacquelyn Walker,
Counselor
Medicare: Not Enrolled in Medicare
Practice Location: 124 Mallard St, Greenville, SC 29601
Phone: 864-549-0222    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.