Jackqueline Ballentine Sims, FNP in Greenwood, SC

Jackqueline Ballentine Sims, FNP is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" in Greenwood, South Carolina. Her current practice location is 1547 Parkway, Greenwood, South Carolina. You can reach out to her office (for appointments etc.) via phone at (864) 229-7120.

Jackqueline Ballentine Sims is licensed to practice in South Carolina (license number 3980) 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 1275866840.

Contact Information

	Jackqueline Ballentine Sims, FNP
	1547 Parkway, Greenwood, SC 29646-4081
	(864) 229-7120
	Not Available

Map and Direction

Provider's Profile

Full Name	Jackqueline Ballentine Sims
Gender	Female
Speciality	Nurse Practitioner - Psychiatric/mental Health
Location	1547 Parkway, Greenwood, South Carolina
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1275866840
Provider Enumeration Date: 09/14/2009
Last Update Date: 11/03/2023

Medicare PECOS Information:

PECOS PAC ID: 4981137163
Enrollment ID: I20241025002774

Medical Identifiers

Medical identifiers for Jackqueline Ballentine Sims such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1275866840	NPI	-	NPPES
421504	Medicaid	SC
3335	Other	SC	MEDICARE

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LP0808X	Nurse Practitioner - Psychiatric/mental Health	3980 (South Carolina)	Primary
363LF0000X	Nurse Practitioner - Family	F3980 (South Carolina)	Secondary

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. Jackqueline Ballentine Sims allows following entities to bill medicare on her behalf.

Entity Name	South Carolina Dept Of Mental Health Accounting Office
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1295332690 PECOS PAC ID: 9032021175 Enrollment ID: O20031107000041

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. Jackqueline Ballentine Sims 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
Jackqueline Ballentine Sims, FNP 1547 Parkway, Greenwood, SC 29646-4081 Ph: (864) 229-7120	Jackqueline Ballentine Sims, FNP 1547 Parkway, Greenwood, SC 29646-4081 Ph: (864) 229-7120

Reviews and Comments

Nurse Practitioner Nurses in Greenwood, SC

Cathleen J Nixon, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 102 Rockcreek Blvd, Greenwood, SC 29649 Phone: 864-227-5020
Dr. Leslie Mactaggart Myers, DNP, APRN, ANP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 422 Montague Ave Ste 5, Greenwood, SC 29649 Phone: 864-990-5074
Whitney D Lyerly Wilson, DNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1015 Spring St, Greenwood, SC 29646 Phone: 864-227-6741 Fax: 864-227-6021
Caitlin Jennings, PMHNP-BC, MSN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1547 Parkway, Greenwood, SC 29646 Phone: 864-229-7120
Natalie Nicole Sheppard, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 105 Vinecrest Ct Ste 300, Greenwood, SC 29646 Phone: 864-223-6625
Mrs. Theresa Calderon, DNP APRN FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 115 Overland Dr, Greenwood, SC 29646 Phone: 864-227-6641 Fax: 864-227-3953
Rachel L Case, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 421 Epting Ave, Greenwood, SC 29646 Phone: 864-227-6818 Fax: 864-227-0850

Jackqueline Ballentine Sims, FNP - Medicare Nurse Practitioner in Greenwood, SC