Dr Jacques Howard Amole, DNP, APRN - Medicare Nurse Practitioner in St. Augustine, FL

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Dr Jacques Howard Amole, DNP, APRN is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" in St. Augustine, Florida. His current practice location is 200 San Sebastian Way, St. Augustine, Florida. You can reach out to his office (for appointments etc.) via phone at (904) 209-6234.

Dr Jacques Howard Amole is licensed to practice in Florida (license number 1084092) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1861529505.

Contact Information

Dr Jacques Howard Amole, DNP, APRN
200 San Sebastian Way,
St. Augustine, FL 32084
(904) 209-6234
Not Available

Map and Direction




Provider's Profile

Full NameDr Jacques Howard Amole
GenderMale
SpecialityNurse Practitioner - Psychiatric/mental Health
Location200 San Sebastian Way, St. Augustine, Florida
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1861529505
  • Provider Enumeration Date: 02/28/2007
  • Last Update Date: 05/12/2015
  Medicare PECOS Information:
  • PECOS PAC ID: 1456329309
  • Enrollment ID: I20040920000489

Medical Identifiers

Medical identifiers for Dr Jacques Howard Amole such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1861529505NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LP0808XNurse Practitioner - Psychiatric/mental Health 1084092 (Florida)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. Dr Jacques Howard Amole allows following entities to bill medicare on his behalf.
Entity NameSma Healthcare Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1356329163
PECOS PAC ID: 0244226363
Enrollment ID: O20040423000483

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 Jacques Howard Amole 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
Dr Jacques Howard Amole, DNP, APRN
1220 Willis Ave,
Daytona Beach, FL 32114-2810

Ph: (386) 236-3200		Dr Jacques Howard Amole, DNP, APRN
200 San Sebastian Way,
St. Augustine, FL 32084

Ph: (904) 209-6234

Reviews and Comments


Nurse Practitioner Nurses in St. Augustine, FL

Karen Stover, ARNP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 130 Health Park Blvd, St. Augustine, FL 32086
Phone: 904-826-3469    Fax: 904-808-4608
Ms. Rosemary Bates, ARNP
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 1955 Ponce De Leon Blvd, St. Augustine, FL 32086
Phone: 904-829-8954    
Maryann Hickey, RN, APN
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 2703 Ponce Deleon, Cvs Minute Clinic, St. Augustine, FL 32084
Phone: 186-638-9272    Fax: 401-652-9787
Gwendolyn Marie Spong, APRN
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 2703 N Ponce De Leon Blvd., Minute Clinic #3591, Area 4, Region 46, St. Augustine, FL 32084
Phone: 904-824-2838    
Lidia S Dalessandro, APRN
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 400 Health Park Blvd, Ste. 300, St. Augustine, FL 32086
Phone: 904-819-5155    
Mrs. Crystal Ann Hyder, ARNP
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 400 Health Park Blvd, Flagler Hospital, St. Augustine, FL 32086
Phone: 904-819-5155    

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).

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