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JACQUELINE LYDIA DIFELICE PA-C
NPI 1316753254
Physician Assistant in Marietta, GA

Active since December 05, 2024PECOS EnrolledAccepts Medicare Assignment
61 WHITCHER ST NE STE 1100, MARIETTA, GA 30060(770) 422-3290 Get Directions Write a Review

NPPES record last updated: December 5, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Jacqueline Lydia Difelice Pa-c NPPES

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

JACQUELINE LYDIA DIFELICE PA-C (NPI 1316753254) is an individual physician assistant in Marietta, Georgia, licensed in Georgia (12643) and active in the NPI registry since December 2024. She is enrolled in Medicare PECOS and is a graduate of Other (2024).

NPPES Registry Identity

NPI1316753254
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameJACQUELINE LYDIA DIFELICECredential: PA-C
Location Address61 WHITCHER ST NE STE 1100Marietta, GA 30060-1177
Mailing Address61 Whitcher St Ne Ste 1100Marietta, GA 30060-1177 · (770) 422-3290
Phone(770) 422-3290
Sole ProprietorNo
Medical School CMSOtherGraduated 2024
Enumeration DateDecember 5, 2024
NPPES CertifiedDecember 5, 2024
✔ NPI 1316753254 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in GA · 12643
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
61 WHITCHER ST NE STE 1100, Marietta, GA 30060
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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

Jacqueline Lydia Difelice Pa-c 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 ID1153850110
PECOS Enrollment IDI20250121003080
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 30060 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
$88.06 typical visit price
range $56.84 – $172.43
Typical copayment $22.01 (range $14.21 – $43.10)
Most-billed visit code 99203
Established Patient
$70.85 typical visit price
range $18.22 – $140.40
Typical copayment $17.71 (range $4.55 – $35.10)
Most-billed visit code 99213
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 3

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

DR. JOHN M PINSKI MD
Orthopaedic Surgery
61 WHITCHER ST NE STE 1100
MARIETTA, GA 30060
Cobb County (770) 422-3290
KYLE CARTER BACHMEIER PA-C
Physician Assistant
61 WHITCHER ST NE STE 1100
MARIETTA, GA 30060
Cobb County (770) 422-3290
PAUL H. LEE PA-C
Physician Assistant
61 WHITCHER ST NE STE 1100
MARIETTA, GA 30060
Cobb County (770) 422-3290

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jacqueline Difelice's NPI number?

The NPI number for Jacqueline Difelice is 1316753254. It was assigned to this individual provider in the NPPES registry on December 5, 2024.

Where is Jacqueline Difelice located?

Jacqueline Difelice practices at 61 Whitcher St NE Ste 1100, Marietta, GA 30060. The listed phone number is (770) 422-3290.

What is Jacqueline Difelice's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Jacqueline Difelice enrolled in Medicare?

Yes. Jacqueline Difelice is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Jacqueline Difelice was last updated on December 5, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.