Nicole Jaquette, is a medicare enrolled "Physician Assistant" in Cades, South Carolina. Her current practice location is
3555 N Williamsburg County Hwy, Cades, South Carolina. You can reach out to her office (for appointments etc.) via phone at
(843) 210-5000.
Nicole Jaquette is licensed to practice in Pennsylvania (license number 1210384) 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 1730966581.
Provider's Profile
| Full Name | Nicole Jaquette |
|---|
| Gender | Female |
|---|
| Speciality | Physician Assistant |
|---|
| Location | 3555 N Williamsburg County Hwy, Cades, South Carolina |
|---|
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
|---|
NPI Data:
- NPI Number: 1730966581
- Provider Enumeration Date: 09/13/2023
- Last Update Date: 01/10/2025
Medicare PECOS Information:
- PECOS PAC ID: 3375994437
- Enrollment ID: I20240112002797
Medical Identifiers
Medical identifiers for Nicole Jaquette such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1730966581 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 363A00000X | Physician Assistant | PA9118384 (Florida) | Secondary |
| 363A00000X | Physician Assistant | 1210384 (Pennsylvania) | 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. Nicole Jaquette allows following entities to bill medicare on her behalf.
| Entity Name | MUSC Community Physicians |
|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
|---|
| Entity Identifiers | NPI Number: 1841878006
PECOS PAC ID: 6507260668
Enrollment ID: O20210811002388 |
|---|
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. Nicole Jaquette 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 |
|---|
Nicole Jaquette,
Po Box 23321,
New York, NY 10087-4321
Ph: Not Available | Nicole Jaquette,
3555 N Williamsburg County Hwy,
Cades, SC 29518-3008
Ph: (843) 210-5000 |
Reviews and Comments