Mrs Jennifer Funderburk Small, FNP-C in Indian Land, SC

Mrs Jennifer Funderburk Small, FNP-C is a medicare enrolled "Nurse Practitioner - Family" in Indian Land, South Carolina. Her current practice location is 2021 Bridgemill Dr, Indian Land, South Carolina. You can reach out to her office (for appointments etc.) via phone at (803) 416-5410.

Mrs Jennifer Funderburk Small is licensed to practice in South Carolina (license number 28483) 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 1932954286.

Contact Information

	Mrs Jennifer Funderburk Small, FNP-C
	2021 Bridgemill Dr, Indian Land, SC 29707-9210
	(803) 416-5410
	Not Available

Map and Direction

Provider's Profile

Full Name	Mrs Jennifer Funderburk Small
Gender	Female
Speciality	Nurse Practitioner - Family
Location	2021 Bridgemill Dr, Indian Land, 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: 1932954286
Provider Enumeration Date: 04/20/2024
Last Update Date: 05/06/2024

Medicare PECOS Information:

PECOS PAC ID: 8921449190
Enrollment ID: I20240520000186

Medical Identifiers

Medical identifiers for Mrs Jennifer Funderburk Small such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1932954286	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	28483 (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 Jennifer Funderburk Small allows following entities to bill medicare on her behalf.

Entity Name	Musc Community Physicians
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1841878006 PECOS PAC ID: 6507260668 Enrollment ID: O20210811002388

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 Funderburk Small 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 Jennifer Funderburk Small, FNP-C Po Box 23321, New York, NY 10087-4321 Ph: (843) 876-1344	Mrs Jennifer Funderburk Small, FNP-C 2021 Bridgemill Dr, Indian Land, SC 29707-9210 Ph: (803) 416-5410

Reviews and Comments

Nurse Practitioner Nurses in Indian Land, SC

Alexa-gail Ruth-ann Woolery, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1040 Edgewater Corporate Pkwy, Indian Land, SC 29707 Phone: 803-548-7007
Elizabeth Baird Lampley, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 9709 Redstone Dr, Indian Land, SC 29707 Phone: 704-667-5350
Jazmin Williams Andrews, MSN, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 7697 Charlotte Hwy, Indian Land, SC 29707 Phone: 866-389-2727
Amanda Gregory, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 8021 Bryson Rd, Indian Land, SC 29707 Phone: 704-408-6267
Megan Blackwelder Keener, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1040 Edgewater Corporate Pkwy, Indian Land, SC 29707 Phone: 803-547-8660 Fax: 803-650-3880
Ms. Erin Rushing Kersey, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 6237 Carolina Commons Dr, Suite 101, Indian Land, SC 29707 Phone: 803-548-9393 Fax: 803-548-9590
Ada Kenetra Wilson, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 7666 Charlotte Hwy, Ste 120, Indian Land, SC 29707 Phone: 803-431-8220

Mrs Jennifer Funderburk Small, FNP-C - Medicare Nurse Practitioner in Indian Land, SC