Jennifer Desiree Douglas, PA - Medicare Physician Assistant in Charleston, SC

Jennifer Desiree Douglas, PA is a medicare enrolled "Physician Assistant" in Charleston, South Carolina. She graduated from nursing school in 2000 and has 24 years of diverse experience with area of expertise as Physician Assistant. She is a member of the group practice University Medical Associates Of The Medical University Of South Carol and her current practice location is 171 Ashley Ave, Charleston, South Carolina. You can reach out to her office (for appointments etc.) via phone at (843) 792-1414.

Jennifer Desiree Douglas is licensed to practice in South Carolina (license number 3509) 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 1023044906.

Contact Information

Jennifer Desiree Douglas, PA
171 Ashley Ave,
Charleston, SC 29425-8908
(843) 792-1414
Not Available

Map and Direction




Provider's Profile

Full NameJennifer Desiree Douglas
GenderFemale
SpecialityPhysician Assistant
Experience24 Years
Location171 Ashley Ave, Charleston, 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:
  • Jennifer Desiree Douglas graduated from nursing school in 2000
  NPI Data:
  • NPI Number: 1023044906
  • Provider Enumeration Date: 06/23/2006
  • Last Update Date: 04/14/2020
  Medicare PECOS Information:
  • PECOS PAC ID: 0042259079
  • Enrollment ID: I20200331000886

Medical Identifiers

Medical identifiers for Jennifer Desiree Douglas such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1023044906NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363A00000XPhysician Assistant MA051653 (Pennsylvania)Secondary
363A00000XPhysician Assistant 0110001232 (Virginia)Secondary
363A00000XPhysician Assistant 3509 (South Carolina)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
University Medical Associates Of The Medical University Of South Carol63057585741297

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. Jennifer Desiree Douglas 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
Jennifer Desiree Douglas, PA
Po Box 751461,
Charlotte, NC 28275-1461

Ph: (843) 792-6200
Jennifer Desiree Douglas, PA
171 Ashley Ave,
Charleston, SC 29425-8908

Ph: (843) 792-1414

Reviews and Comments


Physician Assistant Nurses in Charleston, SC

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Phone: 843-402-1638    Fax: 843-724-2455
Elizabeth Poindexter,
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Matthew K Ewald, PA
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Phone: 843-792-1414    
Meredith Barb Bauerband, PA-C
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Jessica Marie Greenwood, PA-C
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Taryn Bentler, PA-C
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Practice Location: 135 Rutledge Ave, Charleston, SC 29425
Phone: 843-792-3531    

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.