| Mrs Jacqueline L Baer, FNP-C | |
| 
					1816 Bohicket Rd, Suite F, Johns Island, SC 29455-3318  | |
| (843) 559-1938 | |
| (843) 557-1998 | 
| Full Name | Mrs Jacqueline L Baer | 
|---|---|
| Gender | Female | 
| Speciality | Nurse Practitioner - Family | 
| Location | 1816 Bohicket Rd, Johns Island, South Carolina | 
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1952351173 | NPI | - | NPPES | 
| GP3367 | Medicaid | SC | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | APN1396 (South Carolina) | Primary | 
| Entity Name | Angel Oak Family Medicine Llc | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1902083058 PECOS PAC ID: 8426098708 Enrollment ID: O20100429000046  | 
| Mailing Address | Practice Location Address | 
|---|---|
| Mrs Jacqueline L Baer, FNP-C Po Box 336, Johns Island, SC 29457-0336 Ph: (843) 559-1938  | Mrs Jacqueline L Baer, FNP-C 1816 Bohicket Rd, Suite F, Johns Island, SC 29455-3318 Ph: (843) 559-1938  | 
Susan Marie Taylor, MSN, APRN, PMHNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 3227 Walter Dr Ste 1b, Johns Island, SC 29455 Phone: 843-872-5454 Fax: 843-872-5501  | |
Cheryl Ann Allen, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3351 Maybank Hwy, Johns Island, SC 29455 Phone: 843-989-6292  | |
Marsha Schroeder Cayton, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 3227 Walter Dr Ste C1, Johns Island, SC 29455 Phone: 843-920-0046 Fax: 843-920-0001  | |
Misti Lee Borgestad, FNP, CNM Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 3423 Maybank Hwy, Johns Island, SC 29455 Phone: 843-737-5206 Fax: 843-795-7171  | |
Patricia May Coleman, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2782 August Rd, Johns Island, SC 29455 Phone: 843-270-8853  | |
Jessica Paulsen,  Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 7035 Pumpkinseed Dr, Johns Island, SC 29455 Phone: 804-551-4259  | |
Michael Malizia, RN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 3227 Walter Dr Ste 1b, Johns Island, SC 29455 Phone: 843-872-5454 Fax: 843-872-5501  |