Mellissa Willette, BSN, IBCLC in Fort Mill, SC

Mellissa Willette, BSN, IBCLC is a medicare enrolled "Nurse Practitioner" in Fort Mill, South Carolina. Her current practice location is 2209 Sunny Valley Ct, Fort Mill, South Carolina. You can reach out to her office (for appointments etc.) via phone at (864) 354-0786.

Mellissa Willette is licensed to practice in South Carolina (license number 27625) 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 1235607995.

Contact Information

	Mellissa Willette, BSN, IBCLC
	2209 Sunny Valley Ct, Fort Mill, SC 29707-7770
	(864) 354-0786
	Not Available

Map and Direction

Provider's Profile

Full Name	Mellissa Willette
Gender	Female
Speciality	Nurse Practitioner
Location	2209 Sunny Valley Ct, Fort Mill, South Carolina
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1235607995
Provider Enumeration Date: 11/10/2018
Last Update Date: 07/24/2023

Medicare PECOS Information:

PECOS PAC ID: 7618314030
Enrollment ID: I20240321001046

Medical Identifiers

Medical identifiers for Mellissa Willette such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1235607995	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
163WL0100X	Registered Nurse - Lactation Consultant	L-35546 (South Carolina)	Secondary
363L00000X	Nurse Practitioner	27625 (South 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. Mellissa Willette allows following entities to bill medicare on her behalf.

Entity Name	Carolina Urgent & Family Care
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1295761492 PECOS PAC ID: 6103721279 Enrollment ID: O20031203000004

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. Mellissa Willette 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
Mellissa Willette, BSN, IBCLC 2209 Sunny Valley Ct, Fort Mill, SC 29707-7770 Ph: (864) 354-0786	Mellissa Willette, BSN, IBCLC 2209 Sunny Valley Ct, Fort Mill, SC 29707-7770 Ph: (864) 354-0786

Reviews and Comments

Nurse Practitioner Nurses in Fort Mill, SC

Kayla Kipp Mosser, APRN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 704 Gold Hill Rd Ste 207, Fort Mill, SC 29715 Phone: 803-802-5900
Karen Mcgarvey, F.N.P Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1740 Sc 160 West, Fort Mill, SC 29708 Phone: 866-389-2727
Jaden Breyanne Light, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1935 Holbrook Rd, Ste 2200, Fort Mill, SC 29715 Phone: 803-650-4281
Chinelo Ofoma, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 704 Gold Hill Rd, Suite 207, Fort Mill, SC 29715 Phone: 803-802-5900 Fax: 803-802-7101
Meghan Bynum Fields, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 704 Gold Hill Rd, Ste 1200, Fort Mill, SC 29715 Phone: 704-667-3380
Dr. Amy Lingenfelter, DNP, APRN, FNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1201 Carolina Pl Ste 101, Fort Mill, SC 29708 Phone: 803-547-4922
Kelly Taylor Williamson, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 704 Gold Hill Rd, Fort Mill, SC 29715 Phone: 803-835-0420

Mellissa Willette, BSN, IBCLC - Medicare Nurse Practitioner in Fort Mill, SC