Mr Jamie Puckett, NP in Columbia, SC - Medicare Nurse Practitioner

Mr Jamie Puckett, NP is a medicare enrolled "Nurse Practitioner" in Columbia, South Carolina. His current practice location is Taylor At Marion, Columbia, South Carolina. You can reach out to his office (for appointments etc.) via phone at (803) 434-6771.

Mr Jamie Puckett is licensed to practice in South Carolina (license number 22946) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1518512029.

Contact Information

	Mr Jamie Puckett, NP
	Taylor At Marion, Columbia, SC 29220-5194
	(803) 434-6771
	Not Available

Map and Direction

Provider's Profile

Full Name	Mr Jamie Puckett
Gender	Male
Speciality	Nurse Practitioner
Location	Taylor At Marion, Columbia, South Carolina
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1518512029
Provider Enumeration Date: 08/02/2019
Last Update Date: 02/07/2022

Medicare PECOS Information:

PECOS PAC ID: 6800127077
Enrollment ID: I20191021000412

Medical Identifiers

Medical identifiers for Mr Jamie Puckett such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1518512029	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363L00000X	Nurse Practitioner	22946 (South Carolina)	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. Mr Jamie Puckett allows following entities to bill medicare on his behalf.

Entity Name	Providence House Calls Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1689912495 PECOS PAC ID: 1759528250 Enrollment ID: O20130430000366

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 Jamie Puckett 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 Jamie Puckett, NP Po Box 743904, Atlanta, GA 30374-3904 Ph: (803) 296-7033	Mr Jamie Puckett, NP Taylor At Marion, Columbia, SC 29220-5194 Ph: (803) 434-6771

Reviews and Comments

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Mr Jamie Puckett, NP - Medicare Nurse Practitioner in Columbia, SC