Mrs Devora Renee Neely, MSW, P-LCSW - Medicare in Winston Salem, NC

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Mrs Devora Renee Neely, MSW, P-LCSW is a medicare enrolled "Nurse Practitioner" provider in Winston Salem, North Carolina. Her current practice location is 175 Kimel Park Dr Ste 100, Winston Salem, North Carolina. You can reach out to her office (for appointments etc.) via phone at (336) 718-3550.

Mrs Devora Renee Neely is licensed to practice in North Carolina (license number 5018075) 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 1750557872.

Contact Information

Mrs Devora Renee Neely, MSW, P-LCSW
175 Kimel Park Dr Ste 100,
Winston Salem, NC 27103-6951
(336) 718-3550
(336) 277-1825

Map and Direction




Healthcare Provider's Profile

Full NameMrs Devora Renee Neely
GenderFemale
SpecialityNurse Practitioner
Location175 Kimel Park Dr Ste 100, Winston Salem, North Carolina
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1750557872
  • Provider Enumeration Date: 05/08/2008
  • Last Update Date: 07/25/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 4789045386
  • Enrollment ID: I20230728003329

Medical Identifiers

Medical identifiers for Mrs Devora Renee Neely such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1750557872NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
1041C0700XSocial Worker - Clinical P004420 (North Carolina)Secondary
363L00000XNurse Practitioner 5018075 (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 Devora Renee Neely allows following entities to bill medicare on her behalf.
Entity NameNovant Medical Group Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1366409492
PECOS PAC ID: 1153234893
Enrollment ID: O20031121000692
Entity NameForsyth Memorial Hospital Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1104548874
PECOS PAC ID: 9537071790
Enrollment ID: O20040405001702

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 Devora Renee Neely 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
Mrs Devora Renee Neely, MSW, P-LCSW
Po Box 751803,
Charlotte, NC 28275-1803

Ph: () -		Mrs Devora Renee Neely, MSW, P-LCSW
175 Kimel Park Dr Ste 100,
Winston Salem, NC 27103-6951

Ph: (336) 718-3550

Reviews and Comments



Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.