Jackline Wanga Gates, - Medicare Nurse Practitioner in Fayetteville, GA

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Jackline Wanga Gates, is a medicare enrolled "Nurse Practitioner" in Fayetteville, Georgia. Her current practice location is 1275 Highway 54 W Ste 201, Fayetteville, Georgia. You can reach out to her office (for appointments etc.) via phone at (770) 461-3776.

Jackline Wanga Gates is licensed to practice in Georgia (license number RN313932) 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 1801432216.

Contact Information

Jackline Wanga Gates,
1275 Highway 54 W Ste 201,
Fayetteville, GA 30214-4538
(770) 461-3776
(770) 461-3565

Map and Direction




Provider's Profile

Full NameJackline Wanga Gates
GenderFemale
SpecialityNurse Practitioner
Location1275 Highway 54 W Ste 201, Fayetteville, Georgia
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1801432216
  • Provider Enumeration Date: 11/20/2019
  • Last Update Date: 07/31/2024
  Medicare PECOS Information:
  • PECOS PAC ID: 4587077375
  • Enrollment ID: I20220907001656

Medical Identifiers

Medical identifiers for Jackline Wanga Gates such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1801432216NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363L00000XNurse Practitioner RN313932 (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. Jackline Wanga Gates allows following entities to bill medicare on her behalf.
Entity NamePeachtree Immediate Care Fp, Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1437194156
PECOS PAC ID: 3274559323
Enrollment ID: O20051019000049

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. Jackline Wanga Gates 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
Jackline Wanga Gates,
1275 Highway 54 W Ste 201,
Fayetteville, GA 30214-4538

Ph: (770) 461-3776		Jackline Wanga Gates,
1275 Highway 54 W Ste 201,
Fayetteville, GA 30214-4538

Ph: (770) 461-3776

Reviews and Comments


Nurse Practitioner Nurses in Fayetteville, GA

Ms. Philicia Duncan, NP
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 735 Glynn Street South, Fayetteville, GA 30214
Phone: 770-461-4126    
Brittney Shay Pasko, FNP-C
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 1267 Highway 54 W Ste 2200, Fayetteville, GA 30214
Phone: 770-719-0051    Fax: 770-716-0087
Angela Miller, FNP
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 1255 Highway 54 W, Fayetteville, GA 30214
Phone: 770-719-6799    Fax: 770-719-6059
Eleasa Milano, APRN
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 130 Heatherden Ave, Fayetteville, GA 30214
Phone: 808-446-4609    
Erin Dee Smith,
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 1336 Highway 54 W Bldg 500, Fayetteville, GA 30214
Phone: 770-461-1238    
Mrs. Ashley Miller, NP
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 1240 Highway 54 W Ste 602, Fayetteville, GA 30214
Phone: 678-971-4167    Fax: 833-989-2501
Omolola Otubaga, NP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 101 Beckett Ln, Ste. 304, Fayetteville, GA 30214
Phone: 770-703-4448    Fax: 770-703-4038

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.