Charnele Vontese Jackson, DNP is a medicare enrolled "Nurse Practitioner - Family" physician in Sumter, South Carolina. Her current practice location is
531 Oxford St Ste C2, Sumter, South Carolina. You can reach out to her office (for appointments etc.) via phone at
(803) 295-0649.
Charnele Vontese Jackson is licensed to practice in South Carolina (license number 25444) 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 1932778107.
Physician's Profile
Full Name | Charnele Vontese Jackson |
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Gender | Female |
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Speciality | |
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Experience | Years |
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Location | 531 Oxford St Ste C2, Sumter, South Carolina |
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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:
- Charnele Vontese Jackson attended and graduated from in
NPI Data:
- NPI Number: 1932778107
- Provider Enumeration Date: 06/22/2021
- Last Update Date: 02/26/2025
Medicare PECOS Information:
- PECOS PAC ID:
- Enrollment ID:
Medical Identifiers
Medical identifiers for Charnele Vontese Jackson such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1932778107 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207Q00000X | Family Medicine | 25444 (South Carolina) | Secondary |
207QA0505X | Family Medicine - Adult Medicine | 542224 (South Carolina) | Secondary |
363LF0000X | Nurse Practitioner - Family | 25444 (South Carolina) | Primary |
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. Charnele Vontese Jackson 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 |
Charnele Vontese Jackson, DNP 1712 Nicholas Dr, Sumter, SC 29154-7909 Ph: (803) 316-4581 | Charnele Vontese Jackson, DNP 531 Oxford St Ste C2, Sumter, SC 29150-3300 Ph: (803) 295-0649 |
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