Bethlehem Addis, NP - Medicare Nurse Practitioner in Fort Liberty, NC

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Bethlehem Addis, NP is a medicare enrolled "Nurse Practitioner - Family" in Fort Liberty, North Carolina. She graduated from nursing school in 2017 and has 7 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Chesapeake Urology Associates Llc, Chesapeake Urology Associates Llc and her current practice location is 2817 Rock Merritt Avenue, Fort Liberty, North Carolina. You can reach out to her office (for appointments etc.) via phone at (910) 907-6000.

Bethlehem Addis is licensed to practice in Maryland (license number R203814) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1417445107.

Contact Information

Bethlehem Addis, NP
2817 Rock Merritt Avenue,
Fort Liberty, NC 28310-0001
(910) 907-6000
Not Available

Map and Direction




Provider's Profile

Full NameBethlehem Addis
GenderFemale
SpecialityNurse Practitioner
Experience7 Years
Location2817 Rock Merritt Avenue, Fort Liberty, North Carolina
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Bethlehem Addis graduated from nursing school in 2017
  NPI Data:
  • NPI Number: 1417445107
  • Provider Enumeration Date: 04/27/2018
  • Last Update Date: 02/25/2024
  Medicare PECOS Information:
  • PECOS PAC ID: 9335483825
  • Enrollment ID: I20181211001150

Medical Identifiers

Medical identifiers for Bethlehem Addis such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1417445107NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LF0000XNurse Practitioner - Family R203814 (Maryland)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Suburban HospitalBethesda, MDHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Chesapeake Urology Associates Llc4789673393133
Chesapeake Urology Associates Llc4789673393133

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. Bethlehem Addis allows following entities to bill medicare on her behalf.
Entity NamePavel Klein
Entity TypePractitioner - Neurology
Entity IdentifiersNPI Number: 1770528648
PECOS PAC ID: 4789611419
Enrollment ID: I20050725000306
Entity NameWashington Hospital Center Corp
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1407870124
PECOS PAC ID: 3577476266
Enrollment ID: O20040630000173
Entity NameChesapeake Urology Associates Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1700153921
PECOS PAC ID: 4789673393
Enrollment ID: O20111216000464

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. Bethlehem Addis 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
Bethlehem Addis, NP
11105 Flanagan Ln,
Germantown, MD 20876-1748

Ph: (240) 543-1385		Bethlehem Addis, NP
2817 Rock Merritt Avenue,
Fort Liberty, NC 28310-0001

Ph: (910) 907-6000

Reviews and Comments


Nurse Practitioner Nurses in Fort Liberty, NC

Judith Anne Moon,
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 2817 Rock Merritt Ave, Fort Liberty, NC 28310
Phone: 910-907-8922    Fax: 910-907-6069
Mrs. Miranda Ammons Hilburn,
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 5-4257 Bastogne Drive, Fort Liberty, NC 28310
Phone: 910-907-9066    
Richkard Saint Louis,
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: Clark Health Clinic Womack 5-4257 Bastonge St, Fort Liberty, NC 28310
Phone: 910-907-2575    Fax: 910-907-9606
Lachish Jasmin Latimer, RN
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 2817 Rock Merritt Ave, Fort Liberty, NC 28310
Phone: 910-907-8333    
Dr. Tayeshawn Larraine Sembly, DNP, APRN, FNP-BC
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 1-2539 R Miller Street, Fort Liberty, NC 28310
Phone: 910-907-9844    
Dr. Lauren Nicole Nash, DNP
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: Clark Health Clinic, 4527 Bastogne, Fort Liberty, NC 28310
Phone: 910-907-2575    

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.