Ebunoluwa Mikie, in Watkinsville, GA - Medicare Nurse Practitioner

Ebunoluwa Mikie, is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" in Watkinsville, Georgia. Her current practice location is 1800 Hog Mountain Rd Ste 101, Watkinsville, Georgia. You can reach out to her office (for appointments etc.) via phone at (770) 554-2999.

Ebunoluwa Mikie is licensed to practice in Georgia (license number RN230157) 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 1124669403.

Contact Information

	Ebunoluwa Mikie,
	1800 Hog Mountain Rd Ste 101, Watkinsville, GA 30677-1935
	(770) 554-2999
	Not Available

Map and Direction

Provider's Profile

Full Name	Ebunoluwa Mikie
Gender	Female
Speciality	Nurse Practitioner - Psychiatric/mental Health
Location	1800 Hog Mountain Rd Ste 101, Watkinsville, Georgia
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1124669403
Provider Enumeration Date: 10/08/2019
Last Update Date: 10/08/2019

Medicare PECOS Information:

PECOS PAC ID: 1759757180
Enrollment ID: I20221026001101

Medical Identifiers

Medical identifiers for Ebunoluwa Mikie such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1124669403	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LP0808X	Nurse Practitioner - Psychiatric/mental Health	RN230157 (Georgia)	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. Ebunoluwa Mikie allows following entities to bill medicare on her behalf.

Entity Name	Community Bridges Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1558095315 PECOS PAC ID: 2062699721 Enrollment ID: O20110606000388

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. Ebunoluwa Mikie 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
Ebunoluwa Mikie, 1800 Hog Mountain Rd Ste 101, Watkinsville, GA 30677-1935 Ph: (770) 554-2999	Ebunoluwa Mikie, 1800 Hog Mountain Rd Ste 101, Watkinsville, GA 30677-1935 Ph: (770) 554-2999

Reviews and Comments

Nurse Practitioner Nurses in Watkinsville, GA

Christina Nicole Morgan, PMHNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1361 Jennings Mill Rd Ste 201, Watkinsville, GA 30677 Phone: 706-316-1908
Britanny Dawn Castro, FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1011 Oak Hill Ct, Watkinsville, GA 30677 Phone: 706-296-0469
Sheryl A Newberry, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1021 Jamestown Blvd Ste 215, Watkinsville, GA 30677 Phone: 706-389-2273 Fax: 706-389-2298
Barbara L Pruitt, APRN, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1021 Jamestown Blvd Ste 215, Watkinsville, GA 30677 Phone: 706-389-2273 Fax: 706-389-2298
Ms. Ivey Broxton, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1150 Golden Way, Watkinsville, GA 30677 Phone: 706-612-9401 Fax: 706-612-9420
Alexis Brooke Musser, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1305 Jennings Mill Rd Ste 250, Watkinsville, GA 30677 Phone: 706-475-1700
Mary H Brown, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1360 Caduceus Way Bldg 400-104, Watkinsville, GA 30677 Phone: 706-850-8135

Ebunoluwa Mikie, - Medicare Nurse Practitioner in Watkinsville, GA