Jacqueline Carolyn Edwards, NP, RN in Jonesboro, GA

Jacqueline Carolyn Edwards, NP, RN is a medicare enrolled "Nurse Practitioner - Family" in Jonesboro, Georgia. Her current practice location is 8081 Tara Blvd, 265, Jonesboro, Georgia. You can reach out to her office (for appointments etc.) via phone at (678) 815-5446.

Jacqueline Carolyn Edwards is licensed to practice in Georgia (license number RN139678) 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 1740688910.

Contact Information

	Jacqueline Carolyn Edwards, NP, RN
	8081 Tara Blvd, 265, Jonesboro, GA 30236
	(678) 815-5446
	(188) 829-1928

Map and Direction

Provider's Profile

Full Name	Jacqueline Carolyn Edwards
Gender	Female
Speciality	Nurse Practitioner - Family
Location	8081 Tara Blvd, Jonesboro, Georgia
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1740688910
Provider Enumeration Date: 12/19/2014
Last Update Date: 12/13/2016

Medicare PECOS Information:

PECOS PAC ID: 6709196256
Enrollment ID: I20151112001567

Medical Identifiers

Medical identifiers for Jacqueline Carolyn Edwards such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1740688910	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
163W00000X	Registered Nurse	28131113A (Indiana)	Secondary
163W00000X	Registered Nurse	RN139678 (Georgia)	Secondary
363LF0000X	Nurse Practitioner - Family	RN139678 (Georgia)	Primary
363LF0000X	Nurse Practitioner - Family	71005657A (Indiana)	Secondary

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. Jacqueline Carolyn Edwards allows following entities to bill medicare on her behalf.

Entity Name	Drynachan Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1891044657 PECOS PAC ID: 2264718824 Enrollment ID: O20170830003418

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. Jacqueline Carolyn Edwards 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
Jacqueline Carolyn Edwards, NP, RN 8081 Tara Blvd, 265, Jonesboro, GA 30236 Ph: (678) 815-5446	Jacqueline Carolyn Edwards, NP, RN 8081 Tara Blvd, 265, Jonesboro, GA 30236 Ph: (678) 815-5446

Reviews and Comments

Nurse Practitioner Nurses in Jonesboro, GA

Mrs. April D Joseph, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 236 Arrowhead Blvd, Jonesboro, GA 30236 Phone: 770-478-9240
Mrs. Mercy B Manga, NP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2400 Mt. Zion Parkway, Kaiser Permanente Southwood Medical Center, Jonesboro, GA 30236 Phone: 770-603-3649 Fax: 770-962-2400
Ms. Cristyle Lynn Morrison, ACNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 8773 Channing Dr, Jonesboro, GA 30238 Phone: 678-262-7190
Mrs. Khayriyyah Salaam, NURSE PRACTITIONER Nurse Practitioner Medicare: Medicare Enrolled Practice Location: Wellspring Medical/mount Zion Urgent Care, 2759 Mount Zion Parkway, Jonesboro, GA 30236 Phone: 678-289-8338 Fax: 770-603-0515
Myrna Gacusan, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 6911 Tara Blvd, Jonesboro, GA 30236 Phone: 770-477-8573 Fax: 770-477-8573
Reeves Henderson, A-GNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 750 Mount Zion Rd, Jonesboro, GA 30236 Phone: 404-602-0387
Florence Eke Onuoha-emeka, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1979 Lake Chase Ln, Jonesboro, GA 30236 Phone: 470-728-9285

Jacqueline Carolyn Edwards, NP, RN - Medicare Nurse Practitioner in Jonesboro, GA