Jack Andrew Payne, PA - Medicare Physician Assistant in Goose Creek, SC

Jack Andrew Payne, PA is a medicare enrolled "Physician Assistant" in Goose Creek, South Carolina. His current practice location is 7 S Alliance Dr Ste 211b, Goose Creek, South Carolina. You can reach out to his office (for appointments etc.) via phone at (843) 553-4383.

Jack Andrew Payne is licensed to practice in South Carolina (license number 5179) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1548021801.

Contact Information

Jack Andrew Payne, PA
7 S Alliance Dr Ste 211b,
Goose Creek, SC 29445-7297
(843) 553-4383
(843) 553-4384



Provider's Profile

Full NameJack Andrew Payne
GenderMale
SpecialityPhysician Assistant
Location7 S Alliance Dr Ste 211b, Goose Creek, South Carolina
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1548021801
  • Provider Enumeration Date: 01/23/2024
  • Last Update Date: 01/23/2024
  Medicare PECOS Information:
  • PECOS PAC ID: 3274976949
  • Enrollment ID: I20240209000726

Medical Identifiers

Medical identifiers for Jack Andrew Payne such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1548021801NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363A00000XPhysician Assistant 5179 (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. Jack Andrew Payne 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 AddressPractice Location Address
Jack Andrew Payne, PA
Po Box 530062,
Atlanta, GA 30353-0062

Ph: (843) 572-7727
Jack Andrew Payne, PA
7 S Alliance Dr Ste 211b,
Goose Creek, SC 29445-7297

Ph: (843) 553-4383

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› Verified 4 days ago


Physician Assistant Nurses in Goose Creek, SC

Kylie Schuck, PA
Physician Assistant
Medicare: Medicare Enrolled
Practice Location: 100 Springhall Dr, Goose Creek, SC 29445
Phone: 843-572-8201    
Mrs. Robert Archer Ross, PA
Physician Assistant
Medicare: Medicare Enrolled
Practice Location: 7 S Alliance Dr Ste 211b, Goose Creek, SC 29445
Phone: 843-553-4383    Fax: 843-553-4384
Ms. Rachel L. King, PA
Physician Assistant
Medicare: Medicare Enrolled
Practice Location: 119 Springhall Dr, Goose Creek, SC 29445
Phone: 432-662-5208    Fax: 843-553-4436
Michael Ryan Sanchez, PA-C
Physician Assistant
Medicare: Medicare Enrolled
Practice Location: 110 Nnptc Cir, Goose Creek, SC 29445
Phone: 843-794-6800    Fax: 843-794-6823
Matthew J. Hrvatin, PA-C
Physician Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 7 S Alliance Dr Ste 211b, Goose Creek, SC 29445
Phone: 843-553-4383    Fax: 843-553-4384
Ms. Hailey L Wehner, PA-C
Physician Assistant
Medicare: Medicare Enrolled
Practice Location: 7 S Alliance Dr Ste 211b, Goose Creek, SC 29445
Phone: 843-553-4383    Fax: 843-553-4384
Julianna Marie Detrane, PA-C
Physician Assistant
Medicare: Medicare Enrolled
Practice Location: 7 S Alliance Dr Ste 211b, Goose Creek, SC 29445
Phone: 843-553-4383    Fax: 843-553-4384

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