Jaicie N Congress, FNP-C in Charlotte, NC - Medicare Nurse Practitioner

Jaicie N Congress, FNP-C is a medicare enrolled "Nurse Practitioner - Family" in Charlotte, North Carolina. Her current practice location is 8727 Jw Clay Blvd, Charlotte, North Carolina. You can reach out to her office (for appointments etc.) via phone at (980) 999-1831.

Jaicie N Congress is licensed to practice in North Carolina (license number 5010457) 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 1497242630.

Contact Information

	Jaicie N Congress, FNP-C
	8727 Jw Clay Blvd, Charlotte, NC 28262-5417
	(980) 999-1831
	(877) 536-8312

Map and Direction

Provider's Profile

Full Name	Jaicie N Congress
Gender	Female
Speciality	Nurse Practitioner - Family
Location	8727 Jw Clay Blvd, Charlotte, North Carolina
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1497242630
Provider Enumeration Date: 04/13/2018
Last Update Date: 08/23/2022

Medicare PECOS Information:

PECOS PAC ID: 4082969944
Enrollment ID: I20180618000152

Medical Identifiers

Medical identifiers for Jaicie N Congress such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1497242630	NPI	-	NPPES
NN2081H224	Other	NC	MEDICARE

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	5010457 (North 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. Jaicie N Congress allows following entities to bill medicare on her behalf.

Entity Name	Centerwell Senior Primary Care Nc Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1073034625 PECOS PAC ID: 2264708486 Enrollment ID: O20171016002152

Entity Name	Centerwell Senior Primary Care Nc Jv Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1366181943 PECOS PAC ID: 0345614384 Enrollment ID: O20230315000375

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. Jaicie N Congress 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
Jaicie N Congress, FNP-C 8727 Jw Clay Blvd, Charlotte, NC 28262-5417 Ph: (980) 999-1831	Jaicie N Congress, FNP-C 8727 Jw Clay Blvd, Charlotte, NC 28262-5417 Ph: (980) 999-1831

Reviews and Comments

Nurse Practitioner Nurses in Charlotte, NC

Melissa E Jesse, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2236 Shenandoah Ave, Charlotte, NC 28205 Phone: 704-999-9857
Mrs. Adrienne Dunlap Lane, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 200 Hawthorne Ln, Charlotte, NC 28204 Phone: 704-384-4109
Melissa Renee Flood, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1225 Harding Pl, Ste 5100, Charlotte, NC 28204 Phone: 704-355-8850
Anna Philbeck Burgess, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 4135 Southstream Blvd, Charlotte, NC 28217 Phone: 704-631-1200
Stephanie Dawn Ferlic, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 6900 Farmingdale Dr, Charlotte, NC 28212 Phone: 704-910-5810
Brooke Alyssa Davis, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2711 Randolph Rd Ste 400, Charlotte, NC 28207 Phone: 704-342-1900 Fax: 704-377-0353
Angela Devincent Booth, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1001 Blythe Blvd, Medical Center Plaza Suite 200, Charlotte, NC 28203 Phone: 704-381-8840

Jaicie N Congress, FNP-C - Medicare Nurse Practitioner in Charlotte, NC