Kellie Whitener, - Medicare Nurse Practitioner in Statesboro, GA

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Kellie Whitener, is a medicare enrolled "Nurse Practitioner - Family" in Statesboro, Georgia. Her current practice location is 23702 Hwy 80 E, Statesboro, Georgia. You can reach out to her office (for appointments etc.) via phone at (912) 489-4090.

Kellie Whitener is licensed to practice in Georgia (license number RN213296) 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 1093301855.

Contact Information

Kellie Whitener,
23702 Hwy 80 E,
Statesboro, GA 30461-0845
(912) 489-4090
(912) 764-5028

Map and Direction




Provider's Profile

Full NameKellie Whitener
GenderFemale
SpecialityNurse Practitioner - Family
Location23702 Hwy 80 E, Statesboro, Georgia
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1093301855
  • Provider Enumeration Date: 12/16/2020
  • Last Update Date: 12/16/2020
  Medicare PECOS Information:
  • PECOS PAC ID: 2567846074
  • Enrollment ID: I20220901001933

Medical Identifiers

Medical identifiers for Kellie Whitener such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1093301855NPI-NPPES
RN213296OtherGAGEORGIA LICENSE

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LF0000XNurse Practitioner - Family RN213296 (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. Kellie Whitener allows following entities to bill medicare on her behalf.
Entity NameFamily Health Care Center, Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1205855988
PECOS PAC ID: 4082601299
Enrollment ID: O20040429000292

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. Kellie Whitener 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
Kellie Whitener,
23702 Hwy 80 E,
Statesboro, GA 30461-0845

Ph: (912) 489-4090		Kellie Whitener,
23702 Hwy 80 E,
Statesboro, GA 30461-0845

Ph: (912) 489-4090

Reviews and Comments


Nurse Practitioner Nurses in Statesboro, GA

Jenna Cottrell, MSN, FNP-BC
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 586 Brannen St, Statesboro, GA 30458
Phone: 912-871-6611    
Mrs. Kacy H. Nesmith, FNP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 1140 Brampton Ave, Statesboro, GA 30458
Phone: 912-871-2273    
Tina L. Hathaway,
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 114 Hill Pond Ln, Statesboro, GA 30458
Phone: 912-681-6944    Fax: 912-681-8744
Mrs. Qian Tang, NP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 106 Briarwood Rd, Statesboro, GA 30458
Phone: 912-871-5000    Fax: 912-681-1444
Jennifer Reddish Coulter, FNP-C
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 1094 Bermuda Run, Statesboro, GA 30458
Phone: 912-681-3111    
Mrs. Shelby Jordan Palmerton Graham, MSN, APRN, WHNP-BC
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 1 W Altman St, Statesboro, GA 30458
Phone: 912-764-0737    
Ms. Connie June Barnett, RN, MSN, APRN-BC
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 23702 Highway 80 E, Statesboro, GA 30461
Phone: 912-489-4090    

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.