Jacob Alan Bennett, in Charleston, SC - Medicare Nurse Practitioner

Jacob Alan Bennett, is a medicare enrolled "Nurse Practitioner - Critical Care Medicine" in Charleston, South Carolina. His current practice location is 25 Courtenay Dr Ste 4200, Charleston, South Carolina. You can reach out to his office (for appointments etc.) via phone at (843) 876-5744.

Jacob Alan Bennett is licensed to practice in South Carolina (license number 28580) 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 1083499297.

Contact Information

	Jacob Alan Bennett,
	25 Courtenay Dr Ste 4200, Charleston, SC 29425-4001
	(843) 876-5744
	Not Available

Map and Direction

Provider's Profile

Full Name	Jacob Alan Bennett
Gender	Male
Speciality	Nurse Practitioner - Critical Care Medicine
Location	25 Courtenay Dr Ste 4200, Charleston, 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: 1083499297
Provider Enumeration Date: 08/28/2023
Last Update Date: 05/08/2024

Medicare PECOS Information:

PECOS PAC ID: 2769821743
Enrollment ID: I20240424000468

Medical Identifiers

Medical identifiers for Jacob Alan Bennett such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1083499297	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LC0200X	Nurse Practitioner - Critical Care Medicine	28580 (South 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. Jacob Alan Bennett allows following entities to bill medicare on his behalf.

Entity Name	University Medical Associates
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1043241110 PECOS PAC ID: 6305758574 Enrollment ID: O20031105000291

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. Jacob Alan Bennett 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
Jacob Alan Bennett, Po Box 751461, Charlotte, NC 28275-1461 Ph: (843) 792-6200	Jacob Alan Bennett, 25 Courtenay Dr Ste 4200, Charleston, SC 29425-4001 Ph: (843) 876-5744

Reviews and Comments

Nurse Practitioner Nurses in Charleston, SC

Marsha Susan Voges, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 4115 Dorchester Road, Concentra Medical Center, Charleston, SC 29405 Phone: 843-554-6737 Fax: 843-554-3356
Mrs. Pamela Staker, MSN, FNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 109 Bee St, Charleston, SC 29401 Phone: 843-577-5011
Karen D Doll, ANP, CVNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: Medical University Of South Carolina, 114 Doughty Street Suite 654, Charleston, SC 29424 Phone: 843-876-4854 Fax: 843-876-4413
Julie Mackay Hughes, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2070 Northbook Blvd, Ste A16, Charleston, SC 29405 Phone: 843-818-6102
Kristen Slagel Garrett, CPNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2051 Charlie Hall Blvd, Charleston, SC 29414 Phone: 843-573-2535 Fax: 843-573-2534
Lindsey Hendrickson, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 171 Ashley Ave, Charleston, SC 29425 Phone: 843-792-1414
Mrs. Erin Kosak, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 109 Wappoo Creek Dr, Charleston, SC 29412 Phone: 843-796-7171 Fax: 843-795-7171

Jacob Alan Bennett, - Medicare Nurse Practitioner in Charleston, SC