Elizabeth Nichole Beaddles, PNP is a medicare enrolled "Nurse Practitioner - Pediatrics" physician in Chapel Hill, North Carolina. Her current practice location is
101 Manning Dr, Chapel Hill, North Carolina. You can reach out to her office (for appointments etc.) via phone at
(919) 966-1178.
Elizabeth Nichole Beaddles is licensed to practice in North Carolina (license number 5016965) 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 1396469755.
Physician's Profile
Full Name | Elizabeth Nichole Beaddles |
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Gender | Female |
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Speciality | Nurse Practitioner - Pediatrics |
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Location | 101 Manning Dr, Chapel Hill, North Carolina |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1396469755
- Provider Enumeration Date: 09/29/2022
- Last Update Date: 02/20/2023
Medicare PECOS Information:
- PECOS PAC ID: 2860863362
- Enrollment ID: I20230120000086
Medical Identifiers
Medical identifiers for Elizabeth Nichole Beaddles such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1396469755 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
2080P0207X | Pediatrics - Pediatric Hematology-oncology | 5016965 (North Carolina) | Secondary |
363LP0200X | Nurse Practitioner - Pediatrics | 5016965 (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. Elizabeth Nichole Beaddles allows following entities to bill medicare on her behalf.
Entity Name | University Of North Carolina At Chapel Hill |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1780669200 PECOS PAC ID: 0648181156 Enrollment ID: O20031105000359 |
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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. Elizabeth Nichole Beaddles 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 |
Elizabeth Nichole Beaddles, PNP 11711 Mezzanine Dr Unit 114, Raleigh, NC 27614-9594 Ph: () - | Elizabeth Nichole Beaddles, PNP 101 Manning Dr, Chapel Hill, NC 27514-4220 Ph: (919) 966-1178 |
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