Jennifer Lynn Pardue, NP is a medicare enrolled "Family Medicine - Geriatric Medicine" physician in Enoree, South Carolina. Her current practice location is
200 Prison Rd, Enoree, South Carolina. You can reach out to her office (for appointments etc.) via phone at
(803) 729-7974.
Jennifer Lynn Pardue is licensed to practice in South Carolina (license number 27559) 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 1245919224.
Physician's Profile
Full Name | Jennifer Lynn Pardue |
---|
Gender | Female |
---|
Speciality | Family Medicine - Geriatric Medicine |
---|
Location | 200 Prison Rd, Enoree, South Carolina |
---|
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1245919224
- Provider Enumeration Date: 07/17/2023
- Last Update Date: 01/21/2025
Medicare PECOS Information:
- PECOS PAC ID: 1557715349
- Enrollment ID: I20230927003407
Medical Identifiers
Medical identifiers for Jennifer Lynn Pardue such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1245919224 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207QG0300X | Family Medicine - Geriatric Medicine | 27559 (South Carolina) | 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. Jennifer Lynn Pardue allows following entities to bill medicare on her behalf.
Entity Name | Complete Healing & Wellness Center P.a. |
---|
Entity Type | Part B Supplier - Clinic/group Practice |
---|
Entity Identifiers | NPI Number: 1245301985 PECOS PAC ID: 8921023920 Enrollment ID: O20051010000163 |
---|
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. Jennifer Lynn Pardue 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 |
Jennifer Lynn Pardue, NP 109 Harrison Rd, Easley, SC 29642-9348 Ph: (843) 834-5483 | Jennifer Lynn Pardue, NP 200 Prison Rd, Enoree, SC 29335-2719 Ph: (803) 729-7974 |
Reviews and Comments