Jacqueline Farrell Ploszak, FNP-BC - Medicare Nurse Practitioner in Charlotte, NC

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Jacqueline Farrell Ploszak, FNP-BC is a medicare enrolled "Nurse Practitioner" in Charlotte, North Carolina. She graduated from nursing school in 2014 and has 10 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Carolina Medicorp Enterprises Inc and her current practice location is 4815 Berewick Town Center Dr Ste C&d, Charlotte, North Carolina. You can reach out to her office (for appointments etc.) via phone at (980) 337-4652.

Jacqueline Farrell Ploszak is licensed to practice in North Carolina (license number 5007369) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1649678624.

Contact Information

Jacqueline Farrell Ploszak, FNP-BC
4815 Berewick Town Center Dr Ste C&d,
Charlotte, NC 28278-6733
(980) 337-4652
(980) 337-4653

Map and Direction




Provider's Profile

Full NameJacqueline Farrell Ploszak
GenderFemale
SpecialityNurse Practitioner
Experience10 Years
Location4815 Berewick Town Center Dr Ste C&d, Charlotte, North Carolina
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Jacqueline Farrell Ploszak graduated from nursing school in 2014
  NPI Data:
  • NPI Number: 1649678624
  • Provider Enumeration Date: 12/08/2014
  • Last Update Date: 07/14/2021
  Medicare PECOS Information:
  • PECOS PAC ID: 5395060511
  • Enrollment ID: I20150211000568

Medical Identifiers

Medical identifiers for Jacqueline Farrell Ploszak such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1649678624NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LF0000XNurse Practitioner - Family 5007369 (North Carolina)Secondary
363L00000XNurse Practitioner 5007369 (North Carolina)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Carolina Medicorp Enterprises Inc0648174904128

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. Jacqueline Farrell Ploszak allows following entities to bill medicare on her behalf.
Entity NameNovant Medical Group Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1366409492
PECOS PAC ID: 1153234893
Enrollment ID: O20031121000692
Entity NameCarolina Medicorp Enterprises Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1760950646
PECOS PAC ID: 0648174904
Enrollment ID: O20040110000190
Entity NameNovant Medical Group Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1306950282
PECOS PAC ID: 1153234893
Enrollment ID: O20040204001028
Entity NameMinuteclinic Diagnostic Of North Carolina Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1699748608
PECOS PAC ID: 6002837572
Enrollment ID: O20051212000719

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. Jacqueline Farrell Ploszak 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
Jacqueline Farrell Ploszak, FNP-BC
Po Box 601843,
Charlotte, NC 28260-1843

Ph: () -		Jacqueline Farrell Ploszak, FNP-BC
4815 Berewick Town Center Dr Ste C&d,
Charlotte, NC 28278-6733

Ph: (980) 337-4652

Reviews and Comments


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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.