Jade Hazel Pack, - Medicare Nurse Practitioner in Manning, SC

Jade Hazel Pack, is a medicare enrolled "Nurse Practitioner - Family" in Manning, South Carolina. She graduated from nursing school in 2024 and has 2 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Clarendon Health And Wellness Center and her current practice location is 107 Sunset Dr, Manning, South Carolina. You can reach out to her office (for appointments etc.) via phone at (803) 435-4447.

Jade Hazel Pack is licensed to practice in South Carolina (license number 29972) 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 1992511216.

Contact Information

Jade Hazel Pack,
107 Sunset Dr,
Manning, SC 29102-2904
(803) 435-4447
Not Available

Map and Direction




Provider's Profile

Full NameJade Hazel Pack
GenderFemale
SpecialityNurse Practitioner
Experience2 Years
Location107 Sunset Dr, Manning, South Carolina
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:
  • Jade Hazel Pack graduated from nursing school in 2024
  NPI Data:
  • NPI Number: 1992511216
  • Provider Enumeration Date: 12/10/2024
  • Last Update Date: 04/03/2025
  Medicare PECOS Information:
  • PECOS PAC ID: 7618456864
  • Enrollment ID: I20260208000209

Medical Identifiers

Medical identifiers for Jade Hazel Pack such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1992511216NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
163W00000XRegistered Nurse 263902 (South Carolina)Secondary
363LF0000XNurse Practitioner - Family 29972 (South Carolina)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Mcleod Health ClarendonManning, SCHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Clarendon Health And Wellness Center99314726694

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. Jade Hazel Pack 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
Jade Hazel Pack,
1615 Zoar Church Rd,
Sumter, SC 29153-9180

Ph: (803) 464-8697
Jade Hazel Pack,
107 Sunset Dr,
Manning, SC 29102-2904

Ph: (803) 435-4447

Reviews and Comments


Nurse Practitioner Nurses in Manning, SC

Gina G Wilson, FNP
Nurse Practitioner
Medicare: May Accept Medicare Assignments
Practice Location: 1013 Professional Ct, Manning, SC 29102
Phone: 803-433-7444    Fax: 803-433-7448
Amber Nicole Ballentine, APRN
Nurse Practitioner
Medicare: May Accept Medicare Assignments
Practice Location: 22 Bozard St, Manning, SC 29102
Phone: 803-435-8828    Fax: 803-435-2239
Mrs. Tammy Wynette Plemons-sandifer,
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 10 E Hospital St, Manning, SC 29102
Phone: 803-433-3000    
Patricia Levonnie Barrineau, FNP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 12 W South St, Manning, SC 29102
Phone: 803-433-4321    Fax: 803-433-0075
Charles E. Godwin Iii, NP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 50 E Hospital St Ste 6, Manning, SC 29102
Phone: 803-433-3065    Fax: 803-433-0135
Ann Marie Norton, RN, NP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 10 E Hospital St, Manning, SC 29102
Phone: 803-433-3000    
Mrs. Susanne P Johnson, FNP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 50 E Hospital St Ste 3, Manning, SC 29102
Phone: 803-435-8828    Fax: 803-435-2239

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.