Deidree Nichole Jenkins, FNP - Medicare Nurse Practitioner in Douglas, GA

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Deidree Nichole Jenkins, FNP is a medicare enrolled "Nurse Practitioner - Family" in Douglas, Georgia. Her current practice location is 904 Evergreen Ln, Douglas, Georgia. You can reach out to her office (for appointments etc.) via phone at (678) 584-3999.

Deidree Nichole Jenkins is licensed to practice in Georgia (license number RN276896) 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 1730816331.

Contact Information

Deidree Nichole Jenkins, FNP
904 Evergreen Ln,
Douglas, GA 31533-1801
(678) 584-3999
Not Available

Map and Direction




Provider's Profile

Full NameDeidree Nichole Jenkins
GenderFemale
SpecialityNurse Practitioner - Family
Location904 Evergreen Ln, Douglas, Georgia
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1730816331
  • Provider Enumeration Date: 08/03/2022
  • Last Update Date: 03/15/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 1850762063
  • Enrollment ID: I20230126002038

Medical Identifiers

Medical identifiers for Deidree Nichole Jenkins such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1730816331NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LF0000XNurse Practitioner - Family NCO-000003 (Georgia)Secondary
363LF0000XNurse Practitioner - Family RN276896 (Georgia)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. Deidree Nichole Jenkins allows following entities to bill medicare on her behalf.
Entity NameGeorgia Phs Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1043605314
PECOS PAC ID: 2466767686
Enrollment ID: O20150818004266
Entity NameCurana Health Medical Group Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1255640678
PECOS PAC ID: 9133304603
Enrollment ID: O20200410001728
Entity NameTheoria Medical
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1609362375
PECOS PAC ID: 5395098339
Enrollment ID: O20230105001168
Entity NameCh Specialty Services Ga Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1306545181
PECOS PAC ID: 8921464579
Enrollment ID: O20230524000367

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. Deidree Nichole Jenkins 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
Deidree Nichole Jenkins, FNP
Po Box 104,
Douglas, GA 31534-0104

Ph: (678) 584-3999		Deidree Nichole Jenkins, FNP
904 Evergreen Ln,
Douglas, GA 31533-1801

Ph: (678) 584-3999

Reviews and Comments


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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.