Kelley Wallace Jacobs, DNP/FNP in Dillon, SC - Medicare Nurse Practitioner

Kelley Wallace Jacobs, DNP/FNP is a medicare enrolled "Nurse Practitioner - Primary Care" in Dillon, South Carolina. She graduated from nursing school in 2014 and has 10 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Dillon Internal Medicine Associates Pa and her current practice location is 705 N 8th Ave Ste 1a, Dillon, South Carolina. You can reach out to her office (for appointments etc.) via phone at (843) 774-2478.

Kelley Wallace Jacobs is licensed to practice in South Carolina (license number 18972) 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 1952721672.

Contact Information

	Kelley Wallace Jacobs, DNP/FNP
	705 N 8th Ave Ste 1a, Dillon, SC 29536-2549
	(843) 774-2478
	(843) 774-1826

Map and Direction

Provider's Profile

Full Name	Kelley Wallace Jacobs
Gender	Female
Speciality	Nurse Practitioner
Experience	10 Years
Location	705 N 8th Ave Ste 1a, Dillon, South Carolina
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Kelley Wallace Jacobs graduated from nursing school in 2014

NPI Data:

NPI Number: 1952721672
Provider Enumeration Date: 04/21/2014
Last Update Date: 07/28/2014

Medicare PECOS Information:

PECOS PAC ID: 1052532546
Enrollment ID: I20141027001649

Medical Identifiers

Medical identifiers for Kelley Wallace Jacobs such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1952721672	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LP2300X	Nurse Practitioner - Primary Care	18972 (South Carolina)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Mcleod Medical Center - Dillon	Dillon, SC	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Dillon Internal Medicine Associates Pa	5991617995	8

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. Kelley Wallace Jacobs allows following entities to bill medicare on her behalf.

Entity Name	Dillon Internal Medicine Associates Pa
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1124115886 PECOS PAC ID: 5991617995 Enrollment ID: O20040607000923

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. Kelley Wallace Jacobs 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
Kelley Wallace Jacobs, DNP/FNP 705 N 8th Ave Ste 1a, Dillon, SC 29536-2549 Ph: (843) 774-2478	Kelley Wallace Jacobs, DNP/FNP 705 N 8th Ave Ste 1a, Dillon, SC 29536-2549 Ph: (843) 774-2478

Reviews and Comments

Nurse Practitioner Nurses in Dillon, SC

Olivia Price Miller, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 705 Nth 8th Ave, 3b, Dillon, SC 29536 Phone: 843-449-0453
Victoria Michelle Galuppo, FNP-BC, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 501 Radford Blvd, Dillon, SC 29536 Phone: 843-605-0270
Sherrie Nichole Turner, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 410 Highway 301 S, Dillon, SC 29536 Phone: 843-774-0485
Morgan Bass Rigby, NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 301 E Jackson St, Dillon, SC 29536 Phone: 843-774-4111
Renee Elizabeth Sutton, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 301 E Jackson St, Dillon, SC 29536 Phone: 843-774-4111
Ellen Margaret Mishra, WHNP-C, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 207 E Monroe St, Dillon, SC 29536 Phone: 843-774-4337 Fax: 843-774-4373
Kendra Mcqueen Fling, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 207 E Monroe St, Dillon, SC 29536 Phone: 843-774-4337 Fax: 843-774-4343

Kelley Wallace Jacobs, DNP/FNP - Medicare Nurse Practitioner in Dillon, SC