Jacqueline Susanne Crowell, NP - Medicare Nurse Practitioner in Myrtle Beach, SC

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Jacqueline Susanne Crowell, NP is a medicare enrolled "Nurse Practitioner" in Myrtle Beach, South Carolina. Her current practice location is 920 Doug White Dr Ste 210, Myrtle Beach, South Carolina. You can reach out to her office (for appointments etc.) via phone at (843) 497-6348.

Jacqueline Susanne Crowell is licensed to practice in South Carolina (license number 21275RX) 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 1588174635.

Contact Information

Jacqueline Susanne Crowell, NP
920 Doug White Dr Ste 210,
Myrtle Beach, SC 29572-4181
(843) 497-6348
(843) 497-6351

Map and Direction




Provider's Profile

Full NameJacqueline Susanne Crowell
GenderFemale
SpecialityNurse Practitioner
Location920 Doug White Dr Ste 210, Myrtle Beach, South Carolina
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1588174635
  • Provider Enumeration Date: 10/03/2017
  • Last Update Date: 02/10/2022
  Medicare PECOS Information:
  • PECOS PAC ID: 4880956168
  • Enrollment ID: I20180326002989

Medical Identifiers

Medical identifiers for Jacqueline Susanne Crowell such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1588174635NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363L00000XNurse Practitioner 21275RX (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 Susanne Crowell allows following entities to bill medicare on her behalf.
Entity NameGrand Strand Surgical Specialists Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1841465804
PECOS PAC ID: 4082770656
Enrollment ID: O20090305000535

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 Susanne Crowell 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 Susanne Crowell, NP
920 Doug White Dr Ste 210,
Myrtle Beach, SC 29572-4181

Ph: (843) 497-6348		Jacqueline Susanne Crowell, NP
920 Doug White Dr Ste 210,
Myrtle Beach, SC 29572-4181

Ph: (843) 497-6348

Reviews and Comments


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Alexander Petkovsek,
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Practice Location: 920 Doug White Dr Ste 210, Myrtle Beach, SC 29572
Phone: 843-497-6348    Fax: 843-497-6351
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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).

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