Jennifer Ann Kollock, NP - Medicare Nurse Practitioner in Boiling Springs, SC

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Jennifer Ann Kollock, NP is a medicare enrolled "Nurse Practitioner - Family" in Boiling Springs, South Carolina. She graduated from nursing school in 2018 and has 6 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Spartanburg Medical Center and her current practice location is 220 Castleton Cir, Boiling Springs, South Carolina. You can reach out to her office (for appointments etc.) via phone at (704) 773-5896.

Jennifer Ann Kollock is licensed to practice in South Carolina (license number 22284) 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 1740755891.

Contact Information

Jennifer Ann Kollock, NP
220 Castleton Cir,
Boiling Springs, SC 29316-6230
(704) 773-5896
Not Available

Map and Direction




Provider's Profile

Full NameJennifer Ann Kollock
GenderFemale
SpecialityNurse Practitioner
Experience6 Years
Location220 Castleton Cir, Boiling Springs, 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:
  • Jennifer Ann Kollock graduated from nursing school in 2018
  NPI Data:
  • NPI Number: 1740755891
  • Provider Enumeration Date: 10/04/2018
  • Last Update Date: 01/29/2021
  Medicare PECOS Information:
  • PECOS PAC ID: 2062756513
  • Enrollment ID: I20181210003342

Medical Identifiers

Medical identifiers for Jennifer Ann Kollock such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1740755891NPI-NPPES
SCG8286067OtherSCMEDICARE PIN
NP5525MedicaidSC
SCD922J577OtherSCMEDICARE PIN
SCG8286084OtherSCMEDICARE PIN

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LF0000XNurse Practitioner - Family 22284 (South Carolina)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Spartanburg Medical CenterSpartanburg, SCHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Spartanburg Medical Center3072425297912

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. Jennifer Ann Kollock allows following entities to bill medicare on her behalf.
Entity NameSpartanburg Medical Center
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1043309917
PECOS PAC ID: 3072425297
Enrollment ID: O20031105000129
Entity NameSpartanburg Medical Center
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1235170077
PECOS PAC ID: 3072425297
Enrollment ID: O20040322000577
Entity NameSpartanburg Medical Center
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1699729939
PECOS PAC ID: 3072425297
Enrollment ID: O20040702000686
Entity NamePelham Medical Center
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1619133568
PECOS PAC ID: 2365519097
Enrollment ID: O20080923000329
Entity NameWoodruff Road Urgent Care Center Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1598073496
PECOS PAC ID: 7911182084
Enrollment ID: O20110505000224
Entity NameCherokee Medical Center
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1285275305
PECOS PAC ID: 5991041212
Enrollment ID: O20191220002041

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. Jennifer Ann Kollock 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
Jennifer Ann Kollock, NP
Po Box 743070,
Atlanta, GA 30374-3070

Ph: (864) 560-4304		Jennifer Ann Kollock, NP
220 Castleton Cir,
Boiling Springs, SC 29316-6230

Ph: (704) 773-5896

Reviews and Comments


Nurse Practitioner Nurses in Boiling Springs, SC

Blair Gault,
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Phone: 866-389-2727    
Mrs. Constance Audrianna Mudda, FNP-C
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Practice Location: 2400 Boiling Springs Rd, Boiling Springs, SC 29316
Phone: 864-599-0731    Fax: 864-599-0791
Rebecca Joy Brown, PNP
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Virginia Lee Ivey-mingione, FNP
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Medicare: Not Enrolled in Medicare
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Jennifer Nicole Gahan, FNP
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Practice Location: 1888 Boiling Springs Rd, Boiling Springs, SC 29316
Phone: 864-599-0920    
Felisha Booker,
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Practice Location: 1214 Turning Leaf Cir, Boiling Springs, SC 29316
Phone: 864-814-8660    
Emily Lane, FNP
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Medicare: Not Enrolled in Medicare
Practice Location: 1888 Boiling Springs Rd, Boiling Springs, SC 29316
Phone: 866-389-2727    

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.