JESSICA DEMAREST WHARTON M.D. - NPI 1104212653 - Psychiatry & Neurology in Greenville, SC

Q: What is Jessica Wharton's NPI number?

The NPI number for Jessica Wharton is 1104212653. It was assigned to this individual provider in the NPPES registry on April 11, 2015.

Q: What is Jessica Wharton's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Neurology with Special Qualifications in Child Neurology, with taxonomy code 2084N0402X.

Q: When was this NPI record last updated?

The NPPES record for Jessica Wharton was last updated on September 13, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.

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About Jessica Demarest Wharton M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JESSICA DEMAREST WHARTON M.D. (NPI 1104212653) is an individual neurology with special qualifications in child neurology provider in Greenville, South Carolina, licensed in South Carolina (86660) and active in the NPI registry since April 2015. She is enrolled in Medicare PECOS, maintains a secondary practice location in Nashville, and is a graduate of University Of South Carolina School Of Medicine (2015).

NPPES Registry Identity

NPI1104212653

Entity TypeIndividualFemale

Primary Taxonomy2084N0402X

Provider Legal NameJESSICA DEMAREST WHARTONCredential: M.D.

Location Address200 PATEWOOD DR STE A350Greenville, SC 29615-3547

Mailing Address300 E Mcbee Ave Fl 4Greenville, SC 29601-2842 · (864) 522-8603

Phone(864) 454-5110

Fax(864) 241-9206

Sole ProprietorNo

Medical School CMSUniversity Of South Carolina School Of MedicineGraduated 2015

Enumeration DateApril 11, 2015

Last NPPES UpdateSeptember 13, 20213 updates tracked since enumeration

NPPES CertifiedSeptember 13, 2021

✔ NPI 1104212653 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPsychiatry & Neurology · Neurology with Special Qualifications in Child NeurologyAllopathic & Osteopathic Physicians

Taxonomy Code2084N0402X

Licenses✔ Licensed in SC · 86660✔ Licensed in TN · 60895

Definition

A Child Neurologist specializes in neurology with special skills in diagnosis and treatment of neurologic disorders of the neonatal period, infancy, early childhood, and adolescence.

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X

200 PATEWOOD DR STE A350, Greenville, SC 29615

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Secondary Practice Location 1

Location 1Vanderbilt Childrens Hospital 2200 Childrens Way, 8161 Doctors Office TowerNashville, TN 37232-9760 · Phone (615) 936-2555

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Absolute Total Care, Ambetter of North Carolina, BlueCross BlueShield of South Carolina and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Jessica Demarest Wharton M.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID8325468598

PECOS Enrollment IDI20210920000036

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 29615 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$124.04 typical visit price

range $53.57 – $163.84

Typical copayment $31.01 (range $13.39 – $40.96)

Most-billed visit code 99204

Established Patient

$95.12 typical visit price

range $16.96 – $133.52

Typical copayment $23.78 (range $4.24 – $33.38)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 6

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

AMBER LEE WALSTON NP

Nurse Practitioner (Pediatrics)