Mrs Jackie Gwenn Tawoda, FNP in Pineville, KY

Mrs Jackie Gwenn Tawoda, FNP is a medicare enrolled "Nurse Practitioner - Family" in Pineville, Kentucky. Her current practice location is 850 Riverview Ave, Pineville, Kentucky. You can reach out to her office (for appointments etc.) via phone at (606) 654-4526.

Mrs Jackie Gwenn Tawoda is licensed to practice in Kentucky (license number 3018842) 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 1487368049.

Contact Information

	Mrs Jackie Gwenn Tawoda, FNP
	850 Riverview Ave, Pineville, KY 40977-1452
	(606) 654-4526
	Not Available

Map and Direction

Provider's Profile

Full Name	Mrs Jackie Gwenn Tawoda
Gender	Female
Speciality	Nurse Practitioner - Family
Location	850 Riverview Ave, Pineville, Kentucky
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1487368049
Provider Enumeration Date: 01/09/2023
Last Update Date: 10/21/2024

Medicare PECOS Information:

PECOS PAC ID: 1658745401
Enrollment ID: I20230320000556

Medical Identifiers

Medical identifiers for Mrs Jackie Gwenn Tawoda such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1487368049	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	3018842 (Kentucky)	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. Mrs Jackie Gwenn Tawoda allows following entities to bill medicare on her behalf.

Entity Name	Pineville Community Health Center Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1275192924 PECOS PAC ID: 5698009157 Enrollment ID: O20200116003024

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 Jackie Gwenn Tawoda 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
Mrs Jackie Gwenn Tawoda, FNP 268 Sadie Ln, Ewing, VA 24248-8797 Ph: () -	Mrs Jackie Gwenn Tawoda, FNP 850 Riverview Ave, Pineville, KY 40977-1452 Ph: (606) 654-4526

Reviews and Comments

Nurse Practitioner Nurses in Pineville, KY

Amanda Louanne Mills Gann, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 121 W Virginia Ave, Pineville, KY 40977 Phone: 606-654-2412 Fax: 606-654-2519
Mr. Trampas S Nolan, ARNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 222 W Tennessee Ave, Pineville, KY 40977 Phone: 606-654-6210 Fax: 606-654-6220
Grace Runions, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 850 Riverview Ave, Pineville, KY 40977 Phone: 606-337-4299 Fax: 606-337-1128
Judy Lefevers, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 310 S Cherry St, Pineville, KY 40977 Phone: 606-337-7046 Fax: 606-337-8321
Jessica L Mills, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 850 Riverview Ave, Pineville, KY 40977 Phone: 606-337-7779 Fax: 606-337-5437
Whitney Jeree Gann, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 850 Riverview Ave, Pineville, KY 40977 Phone: 606-337-6047 Fax: 606-337-0925
Tiffeny Jean Treece, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 101 Mountain View Cmns, Pineville, KY 40977 Phone: 606-337-8887 Fax: 606-337-8839

Mrs Jackie Gwenn Tawoda, FNP - Medicare Nurse Practitioner in Pineville, KY