Mrs Jacquelyn Dwelle Mcginnis, PMHNP-BC in Mooresville, NC

Mrs Jacquelyn Dwelle Mcginnis, PMHNP-BC is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" in Mooresville, North Carolina. She graduated from nursing school in 2019 and has 5 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Southern Family Medicine, Inc., Outer Banks Professional Services, Llc and her current practice location is 400 E Statesville Ave Ste 200, Mooresville, North Carolina. You can reach out to her office (for appointments etc.) via phone at (704) 360-8486.

Mrs Jacquelyn Dwelle Mcginnis is licensed to practice in North Carolina (license number 5012332) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1750922779.

Contact Information

	Mrs Jacquelyn Dwelle Mcginnis, PMHNP-BC
	400 E Statesville Ave Ste 200, Mooresville, NC 28115-2588
	(704) 360-8486
	(704) 230-4674

Map and Direction

Provider's Profile

Full Name	Mrs Jacquelyn Dwelle Mcginnis
Gender	Female
Speciality	Nurse Practitioner
Experience	5 Years
Location	400 E Statesville Ave Ste 200, Mooresville, North Carolina
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Mrs Jacquelyn Dwelle Mcginnis graduated from nursing school in 2019

NPI Data:

NPI Number: 1750922779
Provider Enumeration Date: 10/01/2019
Last Update Date: 10/29/2024

Medicare PECOS Information:

PECOS PAC ID: 2365878824
Enrollment ID: I20200203000583

Medical Identifiers

Medical identifiers for Mrs Jacquelyn Dwelle Mcginnis such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1750922779	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LP0808X	Nurse Practitioner - Psychiatric/mental Health	5012332 (North Carolina)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Southern Family Medicine, Inc.	0840558342	5
Outer Banks Professional Services, Llc	3173652096	83

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 Jacquelyn Dwelle Mcginnis allows following entities to bill medicare on her behalf.

Entity Name	Caromont Medical Group Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1356314272 PECOS PAC ID: 3577476258 Enrollment ID: O20031201000070

Entity Name	Outer Banks Professional Services, Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1891050357 PECOS PAC ID: 3173652096 Enrollment ID: O20100602000156

Entity Name	Southern Family Medicine, Inc.
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1881144590 PECOS PAC ID: 0840558342 Enrollment ID: O20171211000249

Entity Name	Forefront-matteson Medical Services Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1659982551 PECOS PAC ID: 8527473693 Enrollment ID: O20210503001733

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 Jacquelyn Dwelle Mcginnis 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 Jacquelyn Dwelle Mcginnis, PMHNP-BC Po Box 744786, Atlanta, GA 30374-4786 Ph: (704) 865-3848	Mrs Jacquelyn Dwelle Mcginnis, PMHNP-BC 400 E Statesville Ave Ste 200, Mooresville, NC 28115-2588 Ph: (704) 360-8486

Reviews and Comments

Nurse Practitioner Nurses in Mooresville, NC

Erin Abbey Gray, FPN-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 131 Medical Park Rd, Suite # 303, Mooresville, NC 28117 Phone: 704-660-4584 Fax: 704-696-2929
Marykay Holt, ARNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 106 Corporate Park Dr Ste 200&300, Mooresville, NC 28117 Phone: 704-235-9090 Fax: 704-235-9101
Mrs. Deborah O'neil Speaks, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 559 River Hwy, Mooresville, NC 28117 Phone: 704-663-3438
Kristin Lea Rice, PNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 128 Medical Park Rd Ste 200, Mooresville, NC 28117 Phone: 704-696-2085
Amy Andersen Bush, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 170 Medical Park Rd Ste 101, Mooresville, NC 28117 Phone: 980-302-7070 Fax: 980-302-7075
Dawn Marie Cahn, NP-C Nurse Practitioner Medicare: May Accept Medicare Assignments Practice Location: 137 Shavender Dr, Mooresville, NC 28117 Phone: 203-856-0745
Elizabeth Rudisill Hayes, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 128 Argus Ln Ste G, Mooresville, NC 28117 Phone: 704-660-4362 Fax: 704-660-0442

Mrs Jacquelyn Dwelle Mcginnis, PMHNP-BC - Medicare Nurse Practitioner in Mooresville, NC