Mrs Jacqueline G Mongeau, APRN is a medicare enrolled "Pediatrics - Developmental - Behavioral Pediatrics" in Charleston, South Carolina. She graduated from nursing school in 2024 and has 2 years of diverse experience with area of expertise as Nurse Practitioner. Her current practice location is
135 Rutledge Ave # Msc207, Charleston, South Carolina. You can reach out to her office (for appointments etc.) via phone at
(843) 876-1516.
Mrs Jacqueline G Mongeau is licensed to practice in South Carolina (license number 29395) and she also participates in the medicare program. She
may accept medicare assignments (which means she may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance) and her NPI Number is 1588483317.
Provider's Profile
| Full Name | Mrs Jacqueline G Mongeau |
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| Gender | Female |
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| Speciality | Nurse Practitioner |
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| Experience | 2 Years |
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| Location | 135 Rutledge Ave # Msc207, Charleston, South Carolina |
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| Accepts Medicare Assignments | May be. She may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
Medical Education and Training:
- Mrs Jacqueline G Mongeau graduated from nursing school in 2024
NPI Data:
- NPI Number: 1588483317
- Provider Enumeration Date: 10/08/2024
- Last Update Date: 03/13/2025
Medicare PECOS Information:
- PECOS PAC ID: 5698208924
- Enrollment ID: I20251231000481
Medical Identifiers
Medical identifiers for Mrs Jacqueline G Mongeau such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1588483317 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 363LP0200X | Nurse Practitioner - Pediatrics | 29395 (South Carolina) | Secondary |
| 2080P0006X | Pediatrics - Developmental - Behavioral Pediatrics | 29395 (South Carolina) | Primary |
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. Mrs Jacqueline G Mongeau 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 |
Mrs Jacqueline G Mongeau, APRN 135 Rutledge Ave # Msc207, Charleston, SC 29425-8903 Ph: () - | Mrs Jacqueline G Mongeau, APRN 135 Rutledge Ave # Msc207, Charleston, SC 29425-8903 Ph: (843) 876-1516 |
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