Miss Jane Paulk, FNP-BC is a medicare enrolled "Nurse Practitioner" in Tennille, Georgia. Her current practice location is
116 Smith St, Tennille, Georgia. You can reach out to her office (for appointments etc.) via phone at
(478) 552-7384.
Miss Jane Paulk is licensed to practice in Georgia (license number RN052908) 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 1306920954.
Provider's Profile
| Full Name | Miss Jane Paulk |
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| Gender | Female |
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| Speciality | Nurse Practitioner |
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| Location | 116 Smith St, Tennille, Georgia |
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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: 1306920954
- Provider Enumeration Date: 10/24/2006
- Last Update Date: 02/23/2017
Medicare PECOS Information:
- PECOS PAC ID: 6800898776
- Enrollment ID: I20070206000063
Medical Identifiers
Medical identifiers for Miss Jane Paulk such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1306920954 | NPI | - | NPPES |
| RN052908 | Other | GA | GEORGIA LICENSE |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 363L00000X | Nurse Practitioner | RN052908 (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. Miss Jane Paulk allows following entities to bill medicare on her behalf.
| Entity Name | Community Health Care Systems, Inc. |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1932150422
PECOS PAC ID: 5890783179
Enrollment ID: O20040505000153 |
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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. Miss Jane Paulk 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 |
|---|
Miss Jane Paulk, FNP-BC
Po Box 371,
Wrightsville, GA 31096-0371
Ph: (478) 864-3448 | Miss Jane Paulk, FNP-BC
116 Smith St,
Tennille, GA 31089-1465
Ph: (478) 552-7384 |
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