Dr Susan H Jaques, DMD is a medicare enrolled "Dentist - General Practice" provider in Holly Hill, South Carolina. Her current practice location is
303 Burch Ford Rd, Holly Hill, South Carolina. You can reach out to her office (for appointments etc.) via phone at
(803) 496-9012.
Dr Susan H Jaques is licensed to practice in South Carolina (license number 2538) 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 1568575363.
Healthcare Provider's Profile
Full Name | Dr Susan H Jaques |
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Gender | Female |
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Speciality | Dentist - General Practice |
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Location | 303 Burch Ford Rd, Holly Hill, South Carolina |
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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: 1568575363
- Provider Enumeration Date: 08/16/2006
- Last Update Date: 07/08/2007
Medicare PECOS Information:
- PECOS PAC ID: 1850697376
- Enrollment ID: I20160309002491
Medical Identifiers
Medical identifiers for Dr Susan H Jaques such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1568575363 | NPI | - | NPPES |
992538 | Medicaid | SC | |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
1223G0001X | Dentist - General Practice | 2538 (South Carolina) | 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. Dr Susan H Jaques 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 |
Dr Susan H Jaques, DMD 303 Burch Ford Rd, Holly Hill, SC 29059 Ph: (803) 496-9012 | Dr Susan H Jaques, DMD 303 Burch Ford Rd, Holly Hill, SC 29059 Ph: (803) 496-9012 |
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