Ms Melissa Burleson Micol, RN, MSN, CPNP is a medicare enrolled "Nurse Practitioner" physician in Durham, North Carolina. Her current practice location is
2100 Erwin Rd, Durham, North Carolina. You can reach out to her office (for appointments etc.) via phone at
(919) 620-4467.
Ms Melissa Burleson Micol is licensed to practice in North Carolina (license number 300326) 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 1215011101.
Physician's Profile
Full Name | Ms Melissa Burleson Micol |
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Gender | Female |
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Speciality | Nurse Practitioner |
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Location | 2100 Erwin Rd, Durham, 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: 1215011101
- Provider Enumeration Date: 10/25/2006
- Last Update Date: 04/25/2022
Medicare PECOS Information:
- PECOS PAC ID: 6709195449
- Enrollment ID: I20151021000627
Medical Identifiers
Medical identifiers for Ms Melissa Burleson Micol such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1215011101 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207Q00000X | Family Medicine | 122397 (North Carolina) | Secondary |
363L00000X | Nurse Practitioner | 300326 (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. Ms Melissa Burleson Micol allows following entities to bill medicare on her behalf.
Entity Name | Private Diagnostic Clinic Pllc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1457389033 PECOS PAC ID: 1355254368 Enrollment ID: O20031204000577 |
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Entity Name | Duke University Affiliated Physicians Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1316975972 PECOS PAC ID: 3779489588 Enrollment ID: O20031211000642 |
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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. Ms Melissa Burleson Micol 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 |
Ms Melissa Burleson Micol, RN, MSN, CPNP 2100 Erwin Rd, Duke University Medical Center - Dumc 2914, Durham, NC 27710-0001 Ph: () - | Ms Melissa Burleson Micol, RN, MSN, CPNP 2100 Erwin Rd, Durham, NC 27710-0001 Ph: (919) 620-4467 |
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