Dr Nicole Beall Jaques, MD - Medicare Emergency Medicine in Portland, TN

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Dr Nicole Beall Jaques, MD is a medicare enrolled "Family Medicine" physician in Portland, Tennessee. She went to Loyola University Of Chicago, Stritch School Of Medicine and graduated in 2008 and has 16 years of diverse experience with area of expertise as Emergency Medicine. She is a member of the group practice Paragon Emergency Services Llc and her current practice location is 105 Redbud Dr, Emergency Department, Portland, Tennessee. You can reach out to her office (for appointments etc.) via phone at (615) 745-8150.

Dr Nicole Beall Jaques is licensed to practice in Tennessee (license number 45895) 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 1851563019.

Contact Information

Dr Nicole Beall Jaques, MD
105 Redbud Dr, Emergency Department,
Portland, TN 37148-1673
(615) 745-8150
Not Available

Map and Direction




Physician's Profile

Full NameDr Nicole Beall Jaques
GenderFemale
SpecialityEmergency Medicine
Experience16 Years
Location105 Redbud Dr, Portland, Tennessee
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:
  • Dr Nicole Beall Jaques attended and graduated from Loyola University Of Chicago, Stritch School Of Medicine in 2008
  NPI Data:
  • NPI Number: 1851563019
  • Provider Enumeration Date: 03/27/2008
  • Last Update Date: 01/13/2015
  Medicare PECOS Information:
  • PECOS PAC ID: 4183895329
  • Enrollment ID: I20170814002494

Medical Identifiers

Medical identifiers for Dr Nicole Beall Jaques such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1851563019NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine 45895 (Tennessee)Primary
207P00000XEmergency Medicine 45895 (Tennessee)Secondary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Lake City Medical CenterLake city, FLHospital
Putnam Community Medical CenterPalatka, FLHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Paragon Emergency Services Llc8628153087207

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 Nicole Beall Jaques allows following entities to bill medicare on her behalf.
Entity NameEmergency Physicians Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1285686675
PECOS PAC ID: 7911811435
Enrollment ID: O20040407000673
Entity NameParagon Emergency Services Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1912101650
PECOS PAC ID: 8628153087
Enrollment ID: O20080310000143
Entity NameNew Smyrna Beach Urgent Care, Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1801126297
PECOS PAC ID: 8426184128
Enrollment ID: O20100406000242
Entity NameEmergency Medicine Services Of Fl Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1043917180
PECOS PAC ID: 8426413931
Enrollment ID: O20230504001881

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 Nicole Beall Jaques 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 Nicole Beall Jaques, MD
105 Redbud Dr, Emergency Department,
Portland, TN 37148-1673

Ph: (615) 745-8150		Dr Nicole Beall Jaques, MD
105 Redbud Dr, Emergency Department,
Portland, TN 37148-1673

Ph: (615) 745-8150

Reviews and Comments


Family Medicine Doctors in Portland, TN

Dr. Michael Dean Littell, DO
Family Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 700 S Broadway, Portland, TN 37148
Phone: 615-325-3100    Fax: 615-325-0076
Dr. John A Taylor, M.D.
Family Medicine
Medicare: Medicare Enrolled
Practice Location: 307 S Broadway, Portland, TN 37148
Phone: 615-325-6755    Fax: 615-325-6936
Mrs. Ronda M Worsham, RNMSNCS FNP
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 103 Redbud Dr Ste E, Portland, TN 37148
Phone: 615-325-1206    Fax: 615-325-1245
Pepito Salcedo, MD
Family Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 103 Redbud Dr, Suite E, Portland, TN 37148
Phone: 615-325-1206    Fax: 615-325-1245
Dr. Ralph H. Ruckle, M.D.
Family Medicine
Medicare: Medicare Enrolled
Practice Location: 103 Redbud Dr, Suite C, Portland, TN 37148
Phone: 615-325-7337    Fax: 615-325-0164
Timothy C Kuntz, P.A.
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 307 S Broadway St, Portland, TN 37148
Phone: 615-323-9158    

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.