Mrs Jacquelyn Dwelle Mcginnis, PMHNP-BC in Mooresville, NC

Mrs Jacquelyn Dwelle Mcginnis, PMHNP-BC is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" in Mooresville, North Carolina. Her current practice location is 400 E Statesville Ave Ste 200, Mooresville, North Carolina. You can reach out to her office (for appointments etc.) via phone at (704) 360-8486.

Mrs Jacquelyn Dwelle Mcginnis is licensed to practice in North Carolina (license number 5012332) 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 1750922779.

Contact Information

	Mrs Jacquelyn Dwelle Mcginnis, PMHNP-BC
	400 E Statesville Ave Ste 200, Mooresville, NC 28115-2588
	(704) 360-8486
	(704) 230-4674

Map and Direction

Provider's Profile

Full Name	Mrs Jacquelyn Dwelle Mcginnis
Gender	Female
Speciality	Nurse Practitioner - Psychiatric/mental Health
Location	400 E Statesville Ave Ste 200, Mooresville, North Carolina
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1750922779
Provider Enumeration Date: 10/01/2019
Last Update Date: 10/29/2024

Medicare PECOS Information:

PECOS PAC ID: 2365878824
Enrollment ID: I20200203000583

Medical Identifiers

Medical identifiers for Mrs Jacquelyn Dwelle Mcginnis such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1750922779	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LP0808X	Nurse Practitioner - Psychiatric/mental Health	5012332 (North Carolina)	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. Mrs Jacquelyn Dwelle Mcginnis allows following entities to bill medicare on her behalf.

Entity Name	Caromont Medical Group Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1356314272 PECOS PAC ID: 3577476258 Enrollment ID: O20031201000070

Entity Name	Outer Banks Professional Services, Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1891050357 PECOS PAC ID: 3173652096 Enrollment ID: O20100602000156

Entity Name	Southern Family Medicine Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1881144590 PECOS PAC ID: 0840558342 Enrollment ID: O20171211000249

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 Jacquelyn Dwelle Mcginnis 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 Jacquelyn Dwelle Mcginnis, PMHNP-BC Po Box 744786, Atlanta, GA 30374-4786 Ph: (704) 865-3848	Mrs Jacquelyn Dwelle Mcginnis, PMHNP-BC 400 E Statesville Ave Ste 200, Mooresville, NC 28115-2588 Ph: (704) 360-8486

Reviews and Comments

Nurse Practitioner Nurses in Mooresville, NC

Erin Abbey Gray, FPN-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 131 Medical Park Rd, Suite # 303, Mooresville, NC 28117 Phone: 704-660-4584 Fax: 704-696-2929
Marykay Holt, ARNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 106 Corporate Park Dr Ste 200&300, Mooresville, NC 28117 Phone: 704-235-9090 Fax: 704-235-9101
Mrs. Deborah O'neil Speaks, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 559 River Hwy, Mooresville, NC 28117 Phone: 704-663-3438 Fax: 704-663-6469
Tamara Rahman, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 169 Gateway Blvd, Mooresville, NC 28117 Phone: 704-456-9991
Kristin Lea Rice, PNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 128 Medical Park Rd Ste 200, Mooresville, NC 28117 Phone: 704-696-2085
Amy Andersen Bush, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 170 Medical Park Rd Ste 101, Mooresville, NC 28117 Phone: 980-302-7070 Fax: 980-302-7075
Dawn Marie Cahn, NP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 137 Shavender Dr, Mooresville, NC 28117 Phone: 203-856-0745

Mrs Jacquelyn Dwelle Mcginnis, PMHNP-BC - Medicare Nurse Practitioner in Mooresville, NC