Mrs Jessamyn Thackray, ACNPC-AG in Myrtle Beach, SC

Mrs Jessamyn Thackray, ACNPC-AG is a medicare enrolled "Nurse Practitioner - Acute Care" in Myrtle Beach, South Carolina. Her current practice location is 375 Chamberlin Rd, Myrtle Beach, South Carolina. You can reach out to her office (for appointments etc.) via phone at (843) 251-6759.

Mrs Jessamyn Thackray is licensed to practice in South Carolina (license number 21986) 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 1639884299.

Contact Information

	Mrs Jessamyn Thackray, ACNPC-AG
	375 Chamberlin Rd, Myrtle Beach, SC 29588-5426
	(843) 251-6759
	Not Available

Map and Direction

Provider's Profile

Full Name	Mrs Jessamyn Thackray
Gender	Female
Speciality	Nurse Practitioner - Acute Care
Location	375 Chamberlin Rd, Myrtle Beach, 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: 1639884299
Provider Enumeration Date: 01/18/2023
Last Update Date: 09/20/2024

Medicare PECOS Information:

PECOS PAC ID: 4183089451
Enrollment ID: I20230421000183

Medical Identifiers

Medical identifiers for Mrs Jessamyn Thackray such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1639884299	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LA2100X	Nurse Practitioner - Acute Care	21986 (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 Jessamyn Thackray allows following entities to bill medicare on her behalf.

Entity Name	Associated Medical Specialists Pa
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1881614170 PECOS PAC ID: 1456265503 Enrollment ID: O20031113000696

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 Jessamyn Thackray 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 Jessamyn Thackray, ACNPC-AG 375 Chamberlin Rd, Myrtle Beach, SC 29588-5426 Ph: () -	Mrs Jessamyn Thackray, ACNPC-AG 375 Chamberlin Rd, Myrtle Beach, SC 29588-5426 Ph: (843) 251-6759

Reviews and Comments

Nurse Practitioner Nurses in Myrtle Beach, SC

Wilma J Spencer, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 7724 N Kings Hwy, Myrtle Beach, SC 29572 Phone: 843-663-1013 Fax: 843-663-1017
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Mrs. Angela Kathline Naples, APRN FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 809 82nd Pkwy, Myrtle Beach, SC 29572 Phone: 843-692-1000
Mary E Byrd, DNP, FNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 5010 Carolina Forest Blvd, Myrtle Beach, SC 29579 Phone: 843-236-2700 Fax: 843-236-2726
Alexander Petkovsek, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 920 Doug White Dr Ste 210, Myrtle Beach, SC 29572 Phone: 843-497-6348 Fax: 843-497-6351
Mrs. June Jones, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 3381 Phillis Blvd, Myrtle Beach, SC 29577 Phone: 843-477-0177

Mrs Jessamyn Thackray, ACNPC-AG - Medicare Nurse Practitioner in Myrtle Beach, SC