Jacqueline Mintz, ARNP-FNP - Medicare Nurse Practitioner in Shaw Afb, SC

Jacqueline Mintz, ARNP-FNP is a medicare enrolled "Nurse Practitioner - Family" in Shaw Afb, South Carolina. She graduated from nursing school in 1997 and has 27 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice South Carolina Dept Of Mental Health Accounting Office and her current practice location is 524 Nelson Ave, Shaw Afb, South Carolina. You can reach out to her office (for appointments etc.) via phone at (706) 495-6612.

Jacqueline Mintz is licensed to practice in Georgia (license number RN213453) 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 1124258967.

Contact Information

Jacqueline Mintz, ARNP-FNP
524 Nelson Ave,
Shaw Afb, SC 29152
(706) 495-6612
Not Available

Map and Direction




Provider's Profile

Full NameJacqueline Mintz
GenderFemale
SpecialityNurse Practitioner
Experience27 Years
Location524 Nelson Ave, Shaw Afb, South 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 Mintz graduated from nursing school in 1997
  NPI Data:
  • NPI Number: 1124258967
  • Provider Enumeration Date: 07/14/2009
  • Last Update Date: 12/21/2011
  Medicare PECOS Information:
  • PECOS PAC ID: 7517122096
  • Enrollment ID: I20120709000085

Medical Identifiers

Medical identifiers for Jacqueline Mintz such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1124258967NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LC1500XNurse Practitioner - Community Health 14-60208-122 (Kansas)Secondary
363LF0000XNurse Practitioner - Family RN213453 (Georgia)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
South Carolina Dept Of Mental Health Accounting Office9032021175162

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 Mintz allows following entities to bill medicare on her behalf.
Entity NameSouth Carolina Dept Of Mental Health Accounting Office
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1376595041
PECOS PAC ID: 9032021175
Enrollment ID: O20031105000630

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 Mintz 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 Mintz, ARNP-FNP
224 Ashley Place Road,
Columbia, SC 29229

Ph: (706) 495-6612
Jacqueline Mintz, ARNP-FNP
524 Nelson Ave,
Shaw Afb, SC 29152

Ph: (706) 495-6612

Reviews and Comments


Nurse Practitioner Nurses in Shaw Afb, SC

Ms. Lauren Carol Allain, FNP-BC
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 431 Meadowlark St., 20th Mdg/sghc, Shaw Afb, SC 29152
Phone: 803-895-6356    Fax: 803-895-6456
Lorraine Rivero, NP
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 420 Polifka Dr Bldg 1042, Shaw Afb, SC 29152
Phone: 843-754-2214    
Diane Susan White, NP-C
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 420 Polifka Dr Bldg 1042, Shaw Afb, SC 29152
Phone: 803-895-6356    
Kimberly Marie Shanks, FNP
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 431 Meadowlark Rd, Shaw Afb, SC 29152
Phone: 803-895-6592    
Bri Durrans Deamare Ramirez, NP
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 420 Polifka Dr, Shaw Afb, SC 29152
Phone: 808-772-9388    
Daniel Anthony Blaz, FNP-BC
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 431 Meadowlark St, Shaw Afb, SC 29152
Phone: 803-885-7976    

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.