Mr Jacob J Fountain, FNP in Greenville, SC - Medicare Nurse Practitioner

Mr Jacob J Fountain, FNP is a medicare enrolled "Nurse Practitioner - Family" in Greenville, South Carolina. He graduated from nursing school in 2018 and has 6 years of diverse experience with area of expertise as Nurse Practitioner. He is a member of the group practice Prisma Health University Medical Group and his current practice location is 225 Enterprise Blvd, Suite 101, Greenville, South Carolina. You can reach out to his office (for appointments etc.) via phone at (864) 454-8120.

Mr Jacob J Fountain is licensed to practice in South Carolina (license number 21977) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1497232565.

Contact Information

	Mr Jacob J Fountain, FNP
	225 Enterprise Blvd, Suite 101, Greenville, SC 29615
	(864) 454-8120
	Not Available

Map and Direction

Provider's Profile

Full Name	Mr Jacob J Fountain
Gender	Male
Speciality	Nurse Practitioner
Experience	6 Years
Location	225 Enterprise Blvd, Greenville, South Carolina
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Mr Jacob J Fountain graduated from nursing school in 2018

NPI Data:

NPI Number: 1497232565
Provider Enumeration Date: 07/23/2018
Last Update Date: 07/23/2018

Medicare PECOS Information:

PECOS PAC ID: 2264782457
Enrollment ID: I20180910001852

Medical Identifiers

Medical identifiers for Mr Jacob J Fountain such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1497232565	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	21977 (South Carolina)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Interim Healthcare Of The Upstate	Greenville, SC	Home health agency
Prisma Health Patewood Hospital	Greenville, SC	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Prisma Health University Medical Group	8325950983	2206

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. Mr Jacob J Fountain allows following entities to bill medicare on his behalf.

Entity Name	Prisma Health University Medical Group
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1295763217 PECOS PAC ID: 8325950983 Enrollment ID: O20031103000238

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. Mr Jacob J Fountain 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
Mr Jacob J Fountain, FNP 100 W Faris Rd, Greenville, SC 29605-3002 Ph: (917) 696-6622	Mr Jacob J Fountain, FNP 225 Enterprise Blvd, Suite 101, Greenville, SC 29615 Ph: (864) 454-8120

Reviews and Comments

Nurse Practitioner Nurses in Greenville, SC

Jennifer Hardy Singletary, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 525 Verdae Blvd Ste 150, Greenville, SC 29607 Phone: 864-720-1900 Fax: 864-720-1901
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Matthew Keaton, NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 357 Woodruff Rd, Greenville, SC 29607 Phone: 864-522-8350
Jason Collins, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 701 Grove Rd Fl 1, Greenville, SC 29605 Phone: 864-455-7000
Mary Katelyn Hodges, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2210 Laurens Rd, Greenville, SC 29607 Phone: 864-288-8280
Mr. Matthew Fischer, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 255 Enterprise Blvd Ste 101, Greenville, SC 29615 Phone: 864-454-8120 Fax: 864-454-8125
Rebecca Dawn Leicht, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1809 Wade Hampton Blvd Ste 120, Greenville, SC 29609 Phone: 864-522-5000 Fax: 864-241-9275

Mr Jacob J Fountain, FNP - Medicare Nurse Practitioner in Greenville, SC