Dr Lucero Jacqueline Vivar, MD - Medicare Pediatrics in Aiken, SC

Dr Lucero Jacqueline Vivar, MD is a medicare enrolled "Pediatrics" physician in Aiken, South Carolina. Her current practice location is 60 Physician Dr Ste 100, Aiken, South Carolina. You can reach out to her office (for appointments etc.) via phone at (803) 641-5437.

Dr Lucero Jacqueline Vivar is licensed to practice in Georgia (license number 78471) 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 1134533961.

Contact Information

Dr Lucero Jacqueline Vivar, MD
60 Physician Dr Ste 100,
Aiken, SC 29801-5325
(803) 641-5437
Not Available

Map and Direction




Physician's Profile

Full NameDr Lucero Jacqueline Vivar
GenderFemale
SpecialityPediatrics
Location60 Physician Dr Ste 100, Aiken, South Carolina
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1134533961
  • Provider Enumeration Date: 06/19/2014
  • Last Update Date: 08/09/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 5991924821
  • Enrollment ID: I20210513001485

Medical Identifiers

Medical identifiers for Dr Lucero Jacqueline Vivar such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1134533961NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
208000000XPediatrics 78471 (Georgia)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. Dr Lucero Jacqueline Vivar allows following entities to bill medicare on her behalf.
Entity NameAu Medical Associates Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1841230620
PECOS PAC ID: 9931013513
Enrollment ID: O20040107000188
Entity NameWellstar Medical Group, Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1558664003
PECOS PAC ID: 6709065402
Enrollment ID: O20110127000374
Entity NameAu Medical Associates Emergency Medicine Billing Services, Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1982089777
PECOS PAC ID: 3072823186
Enrollment ID: O20151102001458

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. Dr Lucero Jacqueline Vivar 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
Dr Lucero Jacqueline Vivar, MD
Po Box 6298,
Aiken, SC 29804-6298

Ph: () -
Dr Lucero Jacqueline Vivar, MD
60 Physician Dr Ste 100,
Aiken, SC 29801-5325

Ph: (803) 641-5437

Reviews and Comments


Pediatrics Doctors in Aiken, SC

Jonathan C Collins, M.D.
Pediatrics
Medicare: Not Enrolled in Medicare
Practice Location: 206 Centre South Blvd, Aiken, SC 29803
Phone: 803-642-9204    Fax: 803-648-3633
Dr. John Burton Tiffany, M.D.
Pediatrics
Medicare: Medicare Enrolled
Practice Location: 215 Town Creek Rd, Aiken, SC 29803
Phone: 803-508-7651    Fax: 803-508-7655
Dr. Ashley Elizabeth Miller, DO
Pediatrics
Medicare: Not Enrolled in Medicare
Practice Location: 215 Town Creek Rd, Aiken, SC 29803
Phone: 803-508-7651    Fax: 803-508-7655
Paula Anne Luther, M.D.
Pediatrics
Medicare: Not Enrolled in Medicare
Practice Location: 206 Centre South Blvd, Aiken, SC 29803
Phone: 803-642-9204    Fax: 803-648-3633
Dr. Francis J Dibona, M.D.
Pediatrics
Medicare: Not Enrolled in Medicare
Practice Location: 755 Medical Park Dr, Aiken, SC 29801
Phone: 803-648-0718    Fax: 803-641-9143
Dr. Victoria M. Stoeppler, M.D.
Pediatrics
Medicare: Medicare Enrolled
Practice Location: 1000 Clyburn Pl, Aiken, SC 29801
Phone: 803-649-0578    Fax: 803-649-2788

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.