Mrs Jennifer Lynne Olivarez, PA is a medicare enrolled "Emergency Medicine" in Myrtle Beach, South Carolina. Her current practice location is
809 82nd Pkwy, Myrtle Beach, South Carolina. You can reach out to her office (for appointments etc.) via phone at
(184) 369-2100.
Mrs Jennifer Lynne Olivarez is licensed to practice in Texas (license number V3929) 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 1750628046.
Provider's Profile
| Full Name | Mrs Jennifer Lynne Olivarez |
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| Gender | Female |
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| Speciality | Emergency Medicine |
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| Location | 809 82nd Pkwy, Myrtle Beach, 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: 1750628046
- Provider Enumeration Date: 01/07/2013
- Last Update Date: 09/16/2024
Medicare PECOS Information:
- PECOS PAC ID: 9133367097
- Enrollment ID: I20241008001725
Medical Identifiers
Medical identifiers for Mrs Jennifer Lynne Olivarez such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1750628046 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 363A00000X | Physician Assistant | PA08394 (Texas) | Secondary |
| 390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | Secondary |
| 207P00000X | Emergency Medicine | V3929 (Texas) | 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. Mrs Jennifer Lynne Olivarez allows following entities to bill medicare on her behalf.
| Entity Name | Edinburg Emergency Medicine Associates Pa |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1942467113
PECOS PAC ID: 9638246408
Enrollment ID: O20080919000177 |
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| Entity Name | Mcallen Emergency Medicine Associates Pa |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1336543636
PECOS PAC ID: 1557686409
Enrollment ID: O20150217001079 |
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| Entity Name | Municipal Emergency Medicine Associates, Pa |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1396250650
PECOS PAC ID: 2365701323
Enrollment ID: O20180119000723 |
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| Entity Name | Canyon Springs Emergency Medicine Associates Pa |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1154825412
PECOS PAC ID: 2769728641
Enrollment ID: O20190114002723 |
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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. Mrs Jennifer Lynne Olivarez 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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Mrs Jennifer Lynne Olivarez, PA
809 82nd Parkway, Gme Office,
Myrtle Beach, SC 29572
Ph: (843) 692-1752 | Mrs Jennifer Lynne Olivarez, PA
809 82nd Pkwy,
Myrtle Beach, SC 29572-4607
Ph: (184) 369-2100 |
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