| Mrs Jacqueline Ola Showalter, FNP-C | |
|
905 Dukes St, Saint George, SC 29477-2059 | |
| (843) 563-4602 | |
| Not Available |
| Full Name | Mrs Jacqueline Ola Showalter |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 2 Years |
| Location | 905 Dukes St, Saint George, South Carolina |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1780457036 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 28026 (South Carolina) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Amedisys Home Health Of Charleston | North charleston, SC | Home health agency |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Elite Patient Care Of South Carolina Pc | 1951672617 | 157 |
| Ch Specialty Services Sc Llc | 6608182993 | 150 |
| Entity Name | Ch Specialty Services Sc Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1275915522 PECOS PAC ID: 6608182993 Enrollment ID: O20150901002450 |
| Entity Name | Elite Patient Care Of South Carolina Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1316477896 PECOS PAC ID: 1951672617 Enrollment ID: O20170731000866 |
| Mailing Address | Practice Location Address |
|---|---|
| Mrs Jacqueline Ola Showalter, FNP-C 511 Evening Shade Dr, Moncks Corner, SC 29461-7461 Ph: (843) 224-8178 | Mrs Jacqueline Ola Showalter, FNP-C 905 Dukes St, Saint George, SC 29477-2059 Ph: (843) 563-4602 |
Mrs. Julia Mcduffie Watson, FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 401 Ridge St, Saint George, SC 29477 Phone: 843-636-9130 | |
Savannah Silvers Marchant, DNP, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 401 Ridge St, Saint George, SC 29477 Phone: 843-563-5315 Fax: 843-563-8229 |