Jelena Mckeithan, in Davidson, NC - Medicare Nurse Practitioner

Jelena Mckeithan, is a medicare enrolled "Nurse Practitioner - Family" in Davidson, North Carolina. Her current practice location is 127 S Main St, Davidson, North Carolina. You can reach out to her office (for appointments etc.) via phone at (704) 892-7211.

Jelena Mckeithan is licensed to practice in North Carolina (license number 5015978) 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 1245985092.

Contact Information

	Jelena Mckeithan,
	127 S Main St, Davidson, NC 28036-8096
	(704) 892-7211
	Not Available

Map and Direction

Provider's Profile

Full Name	Jelena Mckeithan
Gender	Female
Speciality	Nurse Practitioner - Family
Location	127 S Main St, Davidson, North Carolina
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1245985092
Provider Enumeration Date: 02/18/2022
Last Update Date: 04/01/2022

Medicare PECOS Information:

PECOS PAC ID: 9032595905
Enrollment ID: I20220929001669

Medical Identifiers

Medical identifiers for Jelena Mckeithan such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1245985092	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	F01220404 (North Carolina)	Secondary
363LF0000X	Nurse Practitioner - Family	5015978 (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. Jelena Mckeithan allows following entities to bill medicare on her behalf.

Entity Name	Southern Family Medicine, Inc.
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1881144590 PECOS PAC ID: 0840558342 Enrollment ID: O20171211000249

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. Jelena Mckeithan 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
Jelena Mckeithan, 127 S Main St, Davidson, NC 28036-8096 Ph: (704) 892-7211	Jelena Mckeithan, 127 S Main St, Davidson, NC 28036-8096 Ph: (704) 892-7211

Reviews and Comments

Nurse Practitioner Nurses in Davidson, NC

Melissa Paige Rusteikas, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2101 Shiloh Church Rd, Ste 101, Davidson, NC 28036 Phone: 704-439-3700
Miss Allison Caitlin Broome, FNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 127 S Main St, Davidson, NC 28036 Phone: 704-892-7211
Brenda Faye Goodman, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 16740 Davidson Concord Rd, Ste 200, Davidson, NC 28036 Phone: 704-444-5881
Alaina Duncan, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 16740 Davidson Concord Rd, Ste 200, Davidson, NC 28036 Phone: 704-801-9200
Sarah Pruitt Shore, NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 104 Knox Ct Ste 100, Davidson, NC 28036 Phone: 704-892-5454 Fax: 704-892-5858
Mr. Emmanuel Adjei Sowah, NP-C Nurse Practitioner Medicare: May Accept Medicare Assignments Practice Location: 9942 Travertine Trl, Davidson, NC 28036 Phone: 980-319-7579

Jelena Mckeithan, - Medicare Nurse Practitioner in Davidson, NC