Mrs Jacquelyn Nicole Greene, FNP is a medicare enrolled "Nurse Practitioner - Family" physician in Easley, South Carolina. She went to University Of South Carolina School Of Medicine and graduated in 2019 and has 5 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Prisma Health University Medical Group and her current practice location is
200 Fleetwood Dr, Easley, South Carolina. You can reach out to her office (for appointments etc.) via phone at
(864) 455-7000.
Mrs Jacquelyn Nicole Greene is licensed to practice in South Carolina (license number 23767) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1063044600.
Physician's Profile
| Full Name | Mrs Jacquelyn Nicole Greene |
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| Gender | Female |
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| Speciality | Nurse Practitioner |
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| Experience | 5 Years |
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| Location | 200 Fleetwood Dr, Easley, South Carolina |
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| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Mrs Jacquelyn Nicole Greene attended and graduated from University Of South Carolina School Of Medicine in 2019
NPI Data:
- NPI Number: 1063044600
- Provider Enumeration Date: 02/11/2020
- Last Update Date: 01/23/2023
Medicare PECOS Information:
- PECOS PAC ID: 1557791761
- Enrollment ID: I20200430000365
Medical Identifiers
Medical identifiers for Mrs Jacquelyn Nicole Greene such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1063044600 | NPI | - | NPPES |
| NP6819 | Medicaid | SC | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207R00000X | Internal Medicine | 23767 (South Carolina) | Secondary |
| 208M00000X | Hospitalist | PENDING (South Carolina) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | 23767 (South Carolina) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Prisma Health University Medical Group | 8325950983 | 2206 |
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. Mrs Jacquelyn Nicole Greene allows following entities to bill medicare on her behalf.
| Entity Name | Prisma Health University Medical Group |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1295763217
PECOS PAC ID: 8325950983
Enrollment ID: O20031103000238 |
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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. Mrs Jacquelyn Nicole Greene 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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Mrs Jacquelyn Nicole Greene, FNP
300 E Mcbee Ave Fl 4,
Greenville, SC 29601-2842
Ph: (864) 522-8603 | Mrs Jacquelyn Nicole Greene, FNP
200 Fleetwood Dr,
Easley, SC 29640-2022
Ph: (864) 455-7000 |
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