Jennifer Nichole Speelman, FNP-C in Lagrange, GA

Jennifer Nichole Speelman, FNP-C is a medicare enrolled "Nurse Practitioner" in Lagrange, Georgia. Her current practice location is 301 Medical Dr Ste 501, Lagrange, Georgia. You can reach out to her office (for appointments etc.) via phone at (706) 882-1191.

Jennifer Nichole Speelman is licensed to practice in Georgia (license number RN217745) 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 1013487065.

Contact Information

	Jennifer Nichole Speelman, FNP-C
	301 Medical Dr Ste 501, Lagrange, GA 30240-4144
	(706) 882-1191
	Not Available

Map and Direction

Provider's Profile

Full Name	Jennifer Nichole Speelman
Gender	Female
Speciality	Nurse Practitioner
Location	301 Medical Dr Ste 501, Lagrange, Georgia
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1013487065
Provider Enumeration Date: 12/03/2018
Last Update Date: 04/28/2024

Medicare PECOS Information:

PECOS PAC ID: 4880930916
Enrollment ID: I20190110002912

Medical Identifiers

Medical identifiers for Jennifer Nichole Speelman such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1013487065	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363L00000X	Nurse Practitioner	RN217745 (Georgia)	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. Jennifer Nichole Speelman allows following entities to bill medicare on her behalf.

Entity Name	Lagrange Emergency Physicians, Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1760437560 PECOS PAC ID: 0840207072 Enrollment ID: O20060314000271

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 Nichole Speelman 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
Jennifer Nichole Speelman, FNP-C 301 Medical Dr Ste 501, Lagrange, GA 30240-4144 Ph: (706) 882-1191	Jennifer Nichole Speelman, FNP-C 301 Medical Dr Ste 501, Lagrange, GA 30240-4144 Ph: (706) 882-1191

Reviews and Comments

Nurse Practitioner Nurses in Lagrange, GA

Maria Ann Daniel, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1551 Doctors Dr, Building 200, Lagrange, GA 30240 Phone: 706-884-2641 Fax: 706-884-2353
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Joni Lee Winter, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1514 Vernon Rd, Lagrange, GA 30240 Phone: 706-845-3706 Fax: 706-845-2193
John Thomas Veal, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 210 W Broome St, Lagrange, GA 30240 Phone: 706-954-6750

Jennifer Nichole Speelman, FNP-C - Medicare Nurse Practitioner in Lagrange, GA