Jacqueline Small, in Cumming, GA - Medicare Nurse Practitioner

Jacqueline Small, is a medicare enrolled "Nurse Practitioner - Family" in Cumming, Georgia. She went to University Alabama Birmingham - School Of Optometry and graduated in 2018 and has 6 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Gwinnett Center Medical Associates and her current practice location is 407 W Maple St # 101, Cumming, Georgia. You can reach out to her office (for appointments etc.) via phone at (770) 888-6697.

Jacqueline Small is licensed to practice in Georgia (license number RN224391) 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 1407415615.

Contact Information

	Jacqueline Small,
	407 W Maple St # 101, Cumming, GA 30040
	(770) 888-6697
	Not Available

Map and Direction

Provider's Profile

Full Name	Jacqueline Small
Gender	Female
Speciality	Nurse Practitioner
Experience	6 Years
Location	407 W Maple St # 101, Cumming, Georgia
Accepts Medicare Assignments	Yes. 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 Small attended and graduated from University Alabama Birmingham - School Of Optometry in 2018

NPI Data:

NPI Number: 1407415615
Provider Enumeration Date: 06/11/2019
Last Update Date: 06/11/2019

Medicare PECOS Information:

PECOS PAC ID: 4284960170
Enrollment ID: I20190730004591

Medical Identifiers

Medical identifiers for Jacqueline Small such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1407415615	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	RN224391 (Georgia)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Gwinnett Center Medical Associates	7810893732	4

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 Small allows following entities to bill medicare on her behalf.

Entity Name	Gwinnett Center Medical Associates
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1811097181 PECOS PAC ID: 7810893732 Enrollment ID: O20031211000151

Entity Name	Premier Medical Associates Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1376600825 PECOS PAC ID: 4981655065 Enrollment ID: O20050303000836

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 Small 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
Jacqueline Small, 3910 Plantation Mill Dr, Buford, GA 30519-1970 Ph: (770) 314-8027	Jacqueline Small, 407 W Maple St # 101, Cumming, GA 30040 Ph: (770) 888-6697

Reviews and Comments

Nurse Practitioner Nurses in Cumming, GA

Megan Irene Smith, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1400 Northside Forsyth Dr Ste 240, Cumming, GA 30041 Phone: 770-844-0877 Fax: 770-844-0891
Mrs. Zahra Alavi, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 980 Sanders Rd Ste 100, Cumming, GA 30041 Phone: 770-886-1074 Fax: 770-205-4717
Julia Caroline Branch, NURSE PRACTITIONER Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1800 Northside Forsyth Dr Ste 370, Cumming, GA 30041 Phone: 770-889-9737
Krupa Patel, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 260 Elm St, Cumming, GA 30040 Phone: 708-871-6687
Ms. Karen Joan Melde, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 410 Peachtree Pkwy Ste 4260, Cumming, GA 30041 Phone: 678-990-2501 Fax: 678-990-2505
Casey Rhea Freeberg, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 5510 Weddington Dr, Cumming, GA 30040 Phone: 770-856-2187
Mollie Renee Brusca, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 550 Bethelview Rd, Cumming, GA 30040 Phone: 678-389-6509

Jacqueline Small, - Medicare Nurse Practitioner in Cumming, GA