Jessica Lynn Maffett, NP is a medicare enrolled "Nurse Practitioner - Family" in Ware Shoals, South Carolina. Her current practice location is
167 S Greenwood Ave, Ware Shoals, South Carolina. You can reach out to her office (for appointments etc.) via phone at
(864) 389-4116.
Jessica Lynn Maffett is licensed to practice in South Carolina (license number 26785) 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 1114635984.
Provider's Profile
| Full Name | Jessica Lynn Maffett |
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| Gender | Female |
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| Speciality | Nurse Practitioner - Family |
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| Location | 167 S Greenwood Ave, Ware Shoals, South Carolina |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1114635984
- Provider Enumeration Date: 11/10/2022
- Last Update Date: 11/10/2022
Medicare PECOS Information:
- PECOS PAC ID: 5597133462
- Enrollment ID: I20221128000265
Medical Identifiers
Medical identifiers for Jessica Lynn Maffett such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1114635984 | NPI | - | NPPES |
| 26785 | Other | SC | SCLLR |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 363LF0000X | Nurse Practitioner - Family | 26785 (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. Jessica Lynn Maffett allows following entities to bill medicare on her behalf.
| Entity Name | Self Medical Group |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1982836847
PECOS PAC ID: 6002953916
Enrollment ID: O20091027000071 |
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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. Jessica Lynn Maffett 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 |
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Jessica Lynn Maffett, NP
103 Lanett St,
Greenwood, SC 29649-1029
Ph: (864) 389-4116 | Jessica Lynn Maffett, NP
167 S Greenwood Ave,
Ware Shoals, SC 29692-1636
Ph: (864) 389-4116 |
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