Mrs Jennifer Lynne Olivarez, PA is a
Emergency Medicine based in Myrtle Beach, South Carolina. Mrs Jennifer Lynne Olivarez is licensed to practice in Texas (license number V3929) and her current practice location is
809 82nd Pkwy, Myrtle Beach, South Carolina. She can be reached at her office (for appointments etc.) via phone at
(184) 369-2100.
NPI number for Mrs Jennifer Lynne Olivarez is 1750628046 and her current mailing address is 809 82nd Parkway, Gme Office, Myrtle Beach, South Carolina. She
does not participate in medicare program and thus does not accept medicare assignments. 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 | Does not participate in Medicare Program. She may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1750628046
- Provider Enumeration Date: 01/07/2013
- Last Update Date: 09/16/2024
Medical Identifiers
Medical identifiers for Mrs Jennifer Lynne Olivarez such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1750628046 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 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 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
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
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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