Jacqueline Gabrielle Wiles, APRN, FNP-BC - Medicare Nurse Practitioner in Walhalla, SC

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Jacqueline Gabrielle Wiles, APRN, FNP-BC is a medicare enrolled "Nurse Practitioner - Family" in Walhalla, South Carolina. Her current practice location is 200 Booker Dr, Walhalla, South Carolina. You can reach out to her office (for appointments etc.) via phone at (864) 656-3076.

Jacqueline Gabrielle Wiles is licensed to practice in South Carolina (license number 23172) 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 1588211197.

Contact Information

Jacqueline Gabrielle Wiles, APRN, FNP-BC
200 Booker Dr,
Walhalla, SC 29691-2278
(864) 656-3076
(843) 985-9562

Map and Direction




Provider's Profile

Full NameJacqueline Gabrielle Wiles
GenderFemale
SpecialityNurse Practitioner - Family
Location200 Booker Dr, Walhalla, South Carolina
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1588211197
  • Provider Enumeration Date: 08/20/2019
  • Last Update Date: 12/13/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 4486086394
  • Enrollment ID: I20191114002410

Medical Identifiers

Medical identifiers for Jacqueline Gabrielle Wiles such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1588211197NPI-NPPES
NP6253MedicaidSC

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LF0000XNurse Practitioner - Family 23172 (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. Jacqueline Gabrielle Wiles allows following entities to bill medicare on her behalf.
Entity NamePrisma Health University Medical Group
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1295763217
PECOS PAC ID: 8325950983
Enrollment ID: O20031103000238
Entity NameClemson University
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1093990707
PECOS PAC ID: 1850393786
Enrollment ID: O20121206000375
Entity NameOnsite Healthcare And Wellness Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1437648904
PECOS PAC ID: 6800141631
Enrollment ID: O20180620000930

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 Gabrielle Wiles 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 Gabrielle Wiles, APRN, FNP-BC
200 Booker Dr,
Walhalla, SC 29691-2278

Ph: (864) 656-3076		Jacqueline Gabrielle Wiles, APRN, FNP-BC
200 Booker Dr,
Walhalla, SC 29691-2278

Ph: (864) 656-3076

Reviews and Comments


Nurse Practitioner Nurses in Walhalla, SC

Michelle Marie Deem, FNP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 200 Booker Dr, Walhalla, SC 29691
Phone: 864-656-3076    Fax: 843-985-9562
Margot Veronique Rabren, NP-C
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 103 Whitetail Dr, Walhalla, SC 29691
Phone: 864-638-3444    Fax: 864-638-3445
Keri Marlene Dickson, FNP
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 103 Whitetail Dr, Walhalla, SC 29691
Phone: 864-638-3444    Fax: 864-638-3445

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.