Fredena Lucas Jaggers, CRNA - Medicare Nurse Anesthetist, Certified Registered in Southern Pines, NC

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Fredena Lucas Jaggers, CRNA is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Southern Pines, North Carolina. Her current practice location is 2170 Midland Rd, Southern Pines, North Carolina. You can reach out to her office (for appointments etc.) via phone at (910) 295-1221.

Fredena Lucas Jaggers is licensed to practice in North Carolina (license number 004545) 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 1336246289.

Contact Information

Fredena Lucas Jaggers, CRNA
2170 Midland Rd,
Southern Pines, NC 28387-2927
(910) 295-1221
Not Available

Map and Direction




Provider's Profile

Full NameFredena Lucas Jaggers
GenderFemale
SpecialityNurse Anesthetist, Certified Registered
Location2170 Midland Rd, Southern Pines, North Carolina
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1336246289
  • Provider Enumeration Date: 09/20/2006
  • Last Update Date: 03/05/2024
  Medicare PECOS Information:
  • PECOS PAC ID: 2264526896
  • Enrollment ID: I20070913000386

Medical Identifiers

Medical identifiers for Fredena Lucas Jaggers such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1336246289NPI-NPPES
430056454OtherNCHRH RR CRNA
8051710OtherNCMEDICAID CRNA PRO.
170062OtherNCLICENSE NUMBER
8000180MedicaidNC
8000315MedicaidNC
430079566OtherNCSCH RR CRNA

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
367500000XNurse Anesthetist, Certified Registered 004545 (North 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. Fredena Lucas Jaggers allows following entities to bill medicare on her behalf.
Entity NameWake Forest University Health Sciences
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1003803032
PECOS PAC ID: 4486564952
Enrollment ID: O20031105000436
Entity NameNurse Anesthesia Of North Carolina Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1689628729
PECOS PAC ID: 7911806195
Enrollment ID: O20040107000364
Entity NameCarolina Anesthesia Associates Pa
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1699723791
PECOS PAC ID: 1456251057
Enrollment ID: O20040115000938
Entity NameSalem Professional Anesthesia Services Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1538171897
PECOS PAC ID: 9133180326
Enrollment ID: O20041108000480
Entity NameAngel Medical Center Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1497753651
PECOS PAC ID: 9638253297
Enrollment ID: O20090312000353
Entity NameAnesthesia Care Services Pa
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1609833474
PECOS PAC ID: 7012937105
Enrollment ID: O20090813000373
Entity NameCarolina Regional Anesthesia Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1891072609
PECOS PAC ID: 5496921769
Enrollment ID: O20120109000406

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. Fredena Lucas Jaggers 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
Fredena Lucas Jaggers, CRNA
128 Peachtree Ln Ste B,
Advance, NC 27006-6783

Ph: (336) 624-1648		Fredena Lucas Jaggers, CRNA
2170 Midland Rd,
Southern Pines, NC 28387-2927

Ph: (910) 295-1221

Reviews and Comments


Nurse Anesthetist, Certified Registered Nurses in Southern Pines, NC

Janice K Ellstrom, CRNA
Nurse Anesthetist - CR
Medicare: Not Enrolled in Medicare
Practice Location: 2170 Midland Rd, Southern Pines, NC 28387
Phone: 910-295-1221    Fax: 910-295-0512
Helena M Eng, CRNA
Nurse Anesthetist - CR
Medicare: Not Enrolled in Medicare
Practice Location: 2170 Midland Rd, Southern Pines, NC 28387
Phone: 910-295-1221    Fax: 910-295-0512
Julia Oliver Woodard, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 2170 Midland Rd, Southern Pines, NC 28387
Phone: 910-295-1221    Fax: 910-295-0512
Stephen Patrick Ulmer, CRNA
Nurse Anesthetist - CR
Medicare: Medicare Enrolled
Practice Location: 109 Steeplechase Way, Southern Pines, NC 28387
Phone: 910-693-1576    

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.