Jacqueline Mintz, ARNP-FNP | |
524 Nelson Ave, Shaw Afb, SC 29152 | |
(706) 495-6612 | |
Not Available |
Full Name | Jacqueline Mintz |
---|---|
Gender | Female |
Speciality | Nurse Practitioner |
Experience | 27 Years |
Location | 524 Nelson Ave, Shaw Afb, South Carolina |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1124258967 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LC1500X | Nurse Practitioner - Community Health | 14-60208-122 (Kansas) | Secondary |
363LF0000X | Nurse Practitioner - Family | RN213453 (Georgia) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
South Carolina Dept Of Mental Health Accounting Office | 9032021175 | 162 |
Entity Name | South Carolina Dept Of Mental Health Accounting Office |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1376595041 PECOS PAC ID: 9032021175 Enrollment ID: O20031105000630 |
Mailing Address | Practice 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 |
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 |