Agnes Reene Jakes, is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" in Ellerslie, Georgia. Her current practice location is
500 Pike Dr, Ellerslie, Georgia. You can reach out to her office (for appointments etc.) via phone at
(706) 593-5539.
Agnes Reene Jakes is licensed to practice in Georgia (license number RN306752) 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 1962208694.
Provider's Profile
Full Name | Agnes Reene Jakes |
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Gender | Female |
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Speciality | Nurse Practitioner - Psychiatric/mental Health |
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Location | 500 Pike Dr, Ellerslie, Georgia |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1962208694
- Provider Enumeration Date: 02/24/2025
- Last Update Date: 02/24/2025
Medicare PECOS Information:
- PECOS PAC ID: 3274050927
- Enrollment ID: I20250507000633
Medical Identifiers
Medical identifiers for Agnes Reene Jakes such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1962208694 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
363LP0808X | Nurse Practitioner - Psychiatric/mental Health | RN306752 (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. Agnes Reene Jakes allows following entities to bill medicare on her behalf.
Entity Name | Privia Medical Group Of Georgia Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1013313857 PECOS PAC ID: 4284951542 Enrollment ID: O20150325000983 |
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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. Agnes Reene Jakes 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 |
Agnes Reene Jakes, 500 Pike Dr, Ellerslie, GA 31807-5548 Ph: (706) 593-5539 | Agnes Reene Jakes, 500 Pike Dr, Ellerslie, GA 31807-5548 Ph: (706) 593-5539 |
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