Erin Whitley Lee, FNP-BC is a medicare enrolled "Nurse Practitioner - Family" in Caledonia, Mississippi. Her current practice location is
171 South St, Caledonia, Mississippi. You can reach out to her office (for appointments etc.) via phone at
(662) 855-0080.
Erin Whitley Lee is licensed to practice in Mississippi (license number 905018) 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 1760028294.
Provider's Profile
| Full Name | Erin Whitley Lee |
|---|
| Gender | Female |
|---|
| Speciality | Nurse Practitioner - Family |
|---|
| Location | 171 South St, Caledonia, Mississippi |
|---|
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
|---|
NPI Data:
- NPI Number: 1760028294
- Provider Enumeration Date: 11/19/2019
- Last Update Date: 03/15/2022
Medicare PECOS Information:
- PECOS PAC ID: 4284029588
- Enrollment ID: I20220324000221
Medical Identifiers
Medical identifiers for Erin Whitley Lee such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1760028294 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 163W00000X | Registered Nurse | 907023 (Mississippi) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | 905018 (Mississippi) | 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. Erin Whitley Lee allows following entities to bill medicare on her behalf.
| Entity Name | Caledonia Community Clinic, Llc |
|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
|---|
| Entity Identifiers | NPI Number: 1619552130
PECOS PAC ID: 8426466913
Enrollment ID: O20210422000543 |
|---|
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. Erin Whitley Lee 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 |
|---|
Erin Whitley Lee, FNP-BC
171 South St,
Caledonia, MS 39740-8587
Ph: (662) 549-6286 | Erin Whitley Lee, FNP-BC
171 South St,
Caledonia, MS 39740-8587
Ph: (662) 855-0080 |
Reviews and Comments