Jacki Sue Degolyer, FNP in Gastonia, NC - Medicare Nurse Practitioner

Jacki Sue Degolyer, FNP is a medicare enrolled "Nurse Practitioner - Primary Care" in Gastonia, North Carolina. She graduated from nursing school in 2013 and has 13 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Caromont Medical Group Inc, Caromont Medical Group Inc and her current practice location is 4235 S New Hope Rd Ste A, Gastonia, North Carolina. You can reach out to her office (for appointments etc.) via phone at (704) 834-2450.

Jacki Sue Degolyer is licensed to practice in North Carolina (license number 5019545) 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 1356912497.

Contact Information

	Jacki Sue Degolyer, FNP
	4235 S New Hope Rd Ste A, Gastonia, NC 28056-8453
	(704) 834-2450
	Not Available

Map and Direction

Provider's Profile

Full Name	Jacki Sue Degolyer
Gender	Female
Speciality	Nurse Practitioner
Experience	13 Years
Location	4235 S New Hope Rd Ste A, Gastonia, North Carolina
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:

Jacki Sue Degolyer graduated from nursing school in 2013

NPI Data:

NPI Number: 1356912497
Provider Enumeration Date: 07/09/2021
Last Update Date: 05/08/2024

Medicare PECOS Information:

PECOS PAC ID: 6305242306
Enrollment ID: I20240820001976

Medical Identifiers

Medical identifiers for Jacki Sue Degolyer such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1356912497	NPI	-	NPPES
0175594	Other	CO	COLORADO REGISTERED NURSE LICENSE
0996679-NP	Other	CO	ADVANCED PRACTICE NURSE
227042	Other	CO	CDE SPECIAL SERVICE PROVIDER
364412	Other	NC	REGISTERED NURSE
5019545	Other	NC	ADVANCED PRACTICE NURSE

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	0996679-NP (Colorado)	Secondary
363LP2300X	Nurse Practitioner - Primary Care	5019545 (North Carolina)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Caromont Medical Group Inc	3577476258	387
Caromont Medical Group Inc	3577476258	387

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. Jacki Sue Degolyer allows following entities to bill medicare on her behalf.

Entity Name	Caromont Medical Group Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1356314272 PECOS PAC ID: 3577476258 Enrollment ID: O20031201000070

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. Jacki Sue Degolyer 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
Jacki Sue Degolyer, FNP Po Box 744786, Atlanta, GA 30374-4786 Ph: () -	Jacki Sue Degolyer, FNP 4235 S New Hope Rd Ste A, Gastonia, NC 28056-8453 Ph: (704) 834-2450

Reviews and Comments

Nurse Practitioner Nurses in Gastonia, NC

Ieachia T. Morris, PMHNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1337 E Garrison Blvd, Gastonia, NC 28054 Phone: 704-671-5313
Jonathan Labayo Desamero, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3715 Union Rd, Gastonia, NC 28056 Phone: 704-854-8202
Susanna M Shepard, FNP Nurse Practitioner Medicare: May Accept Medicare Assignments Practice Location: 609 N Highland St, Gastonia, NC 28052 Phone: 704-853-5294
Cecily Robin Smith, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 815 Cox Rd, Gastonia, NC 28054 Phone: 704-865-1700 Fax: 704-865-7948
Sonya Nanette Belin, PMHNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 3050 Riverwood Pkwy Ste B, Gastonia, NC 28056 Phone: 047-874-9005
Mrs. Shannon Bumgardner Standish, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 920 Cox Rd Ste 201, Gastonia, NC 28054 Phone: 704-864-8302 Fax: 704-864-0228
Nora Davis Paysour, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2525 Court Dr, Gastonia, NC 28054 Phone: 704-834-2000 Fax: 704-834-3274

Jacki Sue Degolyer, FNP - Medicare Nurse Practitioner in Gastonia, NC