Jacqueline Mintz, ARNP-FNP in Shaw Afb, SC - Medicare Nurse Practitioner

Jacqueline Mintz, ARNP-FNP is a medicare enrolled "Nurse Practitioner - Family" in Shaw Afb, South Carolina. She graduated from nursing school in 1997 and has 28 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice South Carolina Dept Of Mental Health Accounting Office and her current practice location is 524 Nelson Ave, Shaw Afb, South Carolina. You can reach out to her office (for appointments etc.) via phone at (706) 495-6612.

Jacqueline Mintz is licensed to practice in Georgia (license number RN213453) 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 1124258967.

Contact Information

	Jacqueline Mintz, ARNP-FNP
	524 Nelson Ave, Shaw Afb, SC 29152
	(706) 495-6612
	Not Available

Map and Direction

Provider's Profile

Full Name	Jacqueline Mintz
Gender	Female
Speciality	Nurse Practitioner
Experience	28 Years
Location	524 Nelson Ave, Shaw Afb, South 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:

Jacqueline Mintz graduated from nursing school in 1997

NPI Data:

NPI Number: 1124258967
Provider Enumeration Date: 07/14/2009
Last Update Date: 12/21/2011

Medicare PECOS Information:

PECOS PAC ID: 7517122096
Enrollment ID: I20120709000085

Medical Identifiers

Medical identifiers for Jacqueline Mintz such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1124258967	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LC1500X	Nurse Practitioner - Community Health	14-60208-122 (Kansas)	Secondary
363LF0000X	Nurse Practitioner - Family	RN213453 (Georgia)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
South Carolina Dept Of Mental Health Accounting Office	9032021175	206

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. Jacqueline Mintz allows following entities to bill medicare on her behalf.

Entity Name	South Carolina Dept Of Mental Health Accounting Office
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1376595041 PECOS PAC ID: 9032021175 Enrollment ID: O20031105000630

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. Jacqueline Mintz 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
Jacqueline Mintz, ARNP-FNP 224 Ashley Place Road, Columbia, SC 29229 Ph: (706) 495-6612	Jacqueline Mintz, ARNP-FNP 524 Nelson Ave, Shaw Afb, SC 29152 Ph: (706) 495-6612

Reviews and Comments

Nurse Practitioner Nurses in Shaw Afb, SC

Mrs. Mallory Smith, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 420 Polifka Dr, Shaw Afb, SC 29152 Phone: 803-895-2273
Ms. Lauren Carol Allain, FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 431 Meadowlark St., 20th Mdg/sghc, Shaw Afb, SC 29152 Phone: 803-895-6356 Fax: 803-895-6456
Lorraine Rivero, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 420 Polifka Dr Bldg 1042, Shaw Afb, SC 29152 Phone: 843-895-6449
Dr. Leslie Marie Filler, DNP, APRN, FNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 420 Polifka Dr Bldg 1042, Shaw Afb, SC 29152 Phone: 803-895-6425
Diane Susan White, NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 420 Polifka Dr Bldg 1042, Shaw Afb, SC 29152 Phone: 803-895-6356
Kimberly Marie Shanks, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 431 Meadowlark Rd, Shaw Afb, SC 29152 Phone: 803-895-6592

Jacqueline Mintz, ARNP-FNP - Medicare Nurse Practitioner in Shaw Afb, SC