Mia Beveridge, NP is a medicare enrolled "Nurse Practitioner - Family" in Cusseta, Georgia. She graduated from nursing school in 2017 and has 7 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Copilotiq Pc and her current practice location is
298 Us Highway 520, Cusseta, Georgia. You can reach out to her office (for appointments etc.) via phone at
(706) 989-1050.
Mia Beveridge is licensed to practice in Georgia (license number RN221664) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1508377557.
Provider's Profile
| Full Name | Mia Beveridge |
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| Gender | Female |
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| Speciality | Nurse Practitioner |
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| Experience | 7 Years |
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| Location | 298 Us Highway 520, Cusseta, Georgia |
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| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Mia Beveridge graduated from nursing school in 2017
NPI Data:
- NPI Number: 1508377557
- Provider Enumeration Date: 10/17/2017
- Last Update Date: 06/28/2024
Medicare PECOS Information:
- PECOS PAC ID: 8224428347
- Enrollment ID: I20220805002796
Medical Identifiers
Medical identifiers for Mia Beveridge such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1508377557 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 363LF0000X | Nurse Practitioner - Family | RN221664 (Georgia) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Copilotiq Pc | 7810392040 | 16 |
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. Mia Beveridge allows following entities to bill medicare on her behalf.
| Entity Name | Copilotiq Pc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1316527203
PECOS PAC ID: 7810392040
Enrollment ID: O20220805002706 |
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| Entity Name | Copilotiq Medical Pa |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1144969767
PECOS PAC ID: 9739559014
Enrollment ID: O20221230002480 |
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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. Mia Beveridge 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 |
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Mia Beveridge, NP
298 Us Highway 520,
Cusseta, GA 31805-3602
Ph: (706) 989-1050 | Mia Beveridge, NP
298 Us Highway 520,
Cusseta, GA 31805-3602
Ph: (706) 989-1050 |
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