Mrs Jacqueline Ola Showalter, FNP-C is a medicare enrolled "Nurse Practitioner - Family" in Saint George, South Carolina. Her current practice location is
905 Dukes St, Saint George, South Carolina. You can reach out to her office (for appointments etc.) via phone at
(843) 563-4602.
Mrs Jacqueline Ola Showalter is licensed to practice in South Carolina (license number 28026) 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 1780457036.
Provider's Profile
Full Name | Mrs Jacqueline Ola Showalter |
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Gender | Female |
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Speciality | Nurse Practitioner - Family |
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Location | 905 Dukes St, Saint George, 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. |
NPI Data:
- NPI Number: 1780457036
- Provider Enumeration Date: 10/30/2023
- Last Update Date: 10/30/2023
Medicare PECOS Information:
- PECOS PAC ID: 3779930490
- Enrollment ID: I20231116002867
Medical Identifiers
Medical identifiers for Mrs Jacqueline Ola Showalter such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1780457036 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
363LF0000X | Nurse Practitioner - Family | 28026 (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. Mrs Jacqueline Ola Showalter allows following entities to bill medicare on her behalf.
Entity Name | Ch Specialty Services Sc Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1275915522 PECOS PAC ID: 6608182993 Enrollment ID: O20150901002450 |
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Entity Name | Elite Patient Care Of South Carolina Pc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1316477896 PECOS PAC ID: 1951672617 Enrollment ID: O20170731000866 |
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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 Jacqueline Ola Showalter 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 |
Mrs Jacqueline Ola Showalter, FNP-C 511 Evening Shade Dr, Moncks Corner, SC 29461-7461 Ph: (843) 224-8178 | Mrs Jacqueline Ola Showalter, FNP-C 905 Dukes St, Saint George, SC 29477-2059 Ph: (843) 563-4602 |
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