Charnele Vontese Jackson, - Medicare Nurse Practitioner in Sumter, SC

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Charnele Vontese Jackson, is a medicare enrolled "Nurse Practitioner - Family" in Sumter, South Carolina. She graduated from nursing school in 2020 and has 4 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Acs Primary Care Physicians - Southeast Pc, Doctors Care, Pa, Musc Community Physicians and her current practice location is 105 N Magnolia St, Sumter, South Carolina. You can reach out to her office (for appointments etc.) via phone at (803) 934-2806.

Charnele Vontese Jackson is licensed to practice in South Carolina (license number 25444) 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 1932778107.

Contact Information

Charnele Vontese Jackson,
105 N Magnolia St,
Sumter, SC 29150-4941
(803) 934-2806
Not Available

Map and Direction




Provider's Profile

Full NameCharnele Vontese Jackson
GenderFemale
SpecialityNurse Practitioner
Experience4 Years
Location105 N Magnolia St, Sumter, South Carolina
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Charnele Vontese Jackson graduated from nursing school in 2020
  NPI Data:
  • NPI Number: 1932778107
  • Provider Enumeration Date: 06/22/2021
  • Last Update Date: 09/27/2021
  Medicare PECOS Information:
  • PECOS PAC ID: 9537566120
  • Enrollment ID: I20210924000034

Medical Identifiers

Medical identifiers for Charnele Vontese Jackson such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1932778107NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
163WC1500XRegistered Nurse - Community Health 227658 (South Carolina)Secondary
363LF0000XNurse Practitioner - Family 25444 (South Carolina)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Mcleod Health ClarendonManning, SCHospital
KershawhealthCamden, SCHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Acs Primary Care Physicians - Southeast Pc5193620714335
Doctors Care, Pa6204731300194
Musc Community Physicians6507260668793

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. Charnele Vontese Jackson allows following entities to bill medicare on her behalf.
Entity NameDoctors Care, Pa
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1366499048
PECOS PAC ID: 6204731300
Enrollment ID: O20040112000069
Entity NameBrian Lecher Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1124180732
PECOS PAC ID: 5294762647
Enrollment ID: O20050718000927
Entity NameAcs Primary Care Physicians - Southeast Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1861430555
PECOS PAC ID: 5193620714
Enrollment ID: O20090401000270
Entity NameLowcountry Urgent Care Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1326364100
PECOS PAC ID: 9739210337
Enrollment ID: O20100625000517
Entity NameElite Patient Care Of South Carolina Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1316477896
PECOS PAC ID: 1951672617
Enrollment ID: O20170731000866
Entity NameMusc Community Physicians
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1841878006
PECOS PAC ID: 6507260668
Enrollment ID: O20210811002388

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. Charnele Vontese Jackson 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
Charnele Vontese Jackson,
1712 Nicholas Dr,
Sumter, SC 29154-7909

Ph: (803) 316-4581		Charnele Vontese Jackson,
105 N Magnolia St,
Sumter, SC 29150-4941

Ph: (803) 934-2806

Reviews and Comments


Nurse Practitioner Nurses in Sumter, SC

Barbara Ann Cook, N.P.
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 2475 Broad St, Sumter, SC 29150
Phone: 803-778-6555    Fax: 803-773-8226
Mrs. Marion Claire Geddings, FNP-BC
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 115 N Sumter St Ste 315, Sumter, SC 29150
Phone: 803-934-0810    
Megan Crandall Lybrand, NP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 115 N Sumter St Ste 315, Sumter, SC 29150
Phone: 803-774-9787    Fax: 803-774-9781
Margaret Conant Britt, APRN-C
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 115 N Sumter St Ste 410, Sumter, SC 29150
Phone: 803-774-9797    Fax: 803-933-3012
Melanie Truesdale Jordan, FNP-C
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 115 N Sumter St Ste 400, Sumter, SC 29150
Phone: 803-774-9465    
Jennifer Weich, FNP-C
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 1229 Alice Dr, Sumter, SC 29150
Phone: 803-905-2273    Fax: 803-905-7775
Meghan K Wachter, PMHNP
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 696 Bultman Dr., Sumter, SC 29150
Phone: 803-848-0500    Fax: 803-848-0700

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.