Charnele Vontese Jackson, DNP - Medicare Nurse Practitioner in Sumter, SC

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Charnele Vontese Jackson, DNP is a medicare enrolled "Nurse Practitioner - Family" physician in Sumter, South Carolina. She graduated from medical school in 2020 and has 6 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Acs Primary Care Physicians - Southeast Pc and 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.

Contact Information

Charnele Vontese Jackson, DNP
531 Oxford St Ste C2,
Sumter, SC 29150-3300
(803) 295-0649
Not Available

Map and Direction




Physician's Profile

Full NameCharnele Vontese Jackson
GenderFemale
SpecialityNurse Practitioner
Experience6 Years
Location531 Oxford St Ste C2, Sumter, South Carolina
Accepts Medicare AssignmentsYes. 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 graduated from medical school in 2020
  NPI Data:
  • NPI Number: 1932778107
  • Provider Enumeration Date: 06/22/2021
  • Last Update Date: 02/26/2025
  Medicare PECOS Information:
  • PECOS PAC ID: 9537566120
  • Enrollment ID: I20210924000034

Medical Identifiers

Medical identifiers for Charnele Vontese Jackson such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1932778107NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine 25444 (South Carolina)Secondary
207QA0505XFamily Medicine - Adult Medicine 542224 (South Carolina)Secondary
363LF0000XNurse Practitioner - Family 25444 (South Carolina)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Mcleod Health ClarendonManning, SCHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Acs Primary Care Physicians - Southeast Pc5193620714354

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. Charnele Vontese Jackson allows following entities to bill medicare on her behalf.
Entity NameBrian Lecher Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1124180732
PECOS PAC ID: 5294762647
Enrollment ID: O20050718000927
Entity NameAcs Primary Care Physicians - Southeast Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1861430555
PECOS PAC ID: 5193620714
Enrollment ID: O20090401000270
Entity NameLowcountry Urgent Care Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1326364100
PECOS PAC ID: 9739210337
Enrollment ID: O20100625000517
Entity NameElite Patient Care Of South Carolina Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1316477896
PECOS PAC ID: 1951672617
Enrollment ID: O20170731000866
Entity NameMusc Community Physicians
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI 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. 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 AddressPractice 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

Reviews and Comments



Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.