Jennifer Simpson Etheridge, in Watkinsville, GA

Jennifer Simpson Etheridge, is a medicare enrolled "Nurse Practitioner - Adult Health" in Watkinsville, Georgia. Her current practice location is 1360 Caduceus Way Ste 105, Watkinsville, Georgia. You can reach out to her office (for appointments etc.) via phone at (706) 850-3795.

Jennifer Simpson Etheridge is licensed to practice in Georgia (license number RN222355) 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 1144784372.

Contact Information

	Jennifer Simpson Etheridge,
	1360 Caduceus Way Ste 105, Watkinsville, GA 30677-7300
	(706) 850-3795
	(877) 580-1676

Map and Direction

Provider's Profile

Full Name	Jennifer Simpson Etheridge
Gender	Female
Speciality	Nurse Practitioner - Adult Health
Location	1360 Caduceus Way Ste 105, Watkinsville, Georgia
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1144784372
Provider Enumeration Date: 01/22/2019
Last Update Date: 03/11/2021

Medicare PECOS Information:

PECOS PAC ID: 4587072004
Enrollment ID: I20210422001865

Medical Identifiers

Medical identifiers for Jennifer Simpson Etheridge such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1144784372	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
163W00000X	Registered Nurse	RN222355 (Georgia)	Secondary
363LA2200X	Nurse Practitioner - Adult Health	RN222355 (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. Jennifer Simpson Etheridge allows following entities to bill medicare on her behalf.

Entity Name	Athens Cardiac Clinic, Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1679945596 PECOS PAC ID: 1951611698 Enrollment ID: O20151109000360

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 Simpson Etheridge 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
Jennifer Simpson Etheridge, 1360 Caduceus Way Ste 105, Watkinsville, GA 30677-7300 Ph: (706) 850-3795	Jennifer Simpson Etheridge, 1360 Caduceus Way Ste 105, Watkinsville, GA 30677-7300 Ph: (706) 850-3795

Reviews and Comments

Nurse Practitioner Nurses in Watkinsville, GA

Christina Nicole Morgan, PMHNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1361 Jennings Mill Rd Ste 201, Watkinsville, GA 30677 Phone: 706-316-1908
Britanny Dawn Castro, FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1011 Oak Hill Ct, Watkinsville, GA 30677 Phone: 706-296-0469
Sheryl A Newberry, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1021 Jamestown Blvd Ste 215, Watkinsville, GA 30677 Phone: 706-389-2273 Fax: 706-389-2298
Barbara L Pruitt, APRN, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1021 Jamestown Blvd Ste 215, Watkinsville, GA 30677 Phone: 706-389-2273 Fax: 706-389-2298
Ms. Ivey Broxton, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1150 Golden Way, Watkinsville, GA 30677 Phone: 706-612-9401 Fax: 706-612-9420
Alexis Brooke Musser, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1305 Jennings Mill Rd Ste 250, Watkinsville, GA 30677 Phone: 706-475-1700
Mary H Brown, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1360 Caduceus Way Bldg 400-104, Watkinsville, GA 30677 Phone: 706-850-8135

Jennifer Simpson Etheridge, - Medicare Nurse Practitioner in Watkinsville, GA