Mrs Kelly Virga Harless, FNP-C in Dacula, GA - Medicare Nurse Practitioner

Mrs Kelly Virga Harless, FNP-C is a medicare enrolled "Nurse Practitioner - Family" in Dacula, Georgia. Her current practice location is 256 Mcmillan Rd, Dacula, Georgia. You can reach out to her office (for appointments etc.) via phone at (678) 712-4184.

Mrs Kelly Virga Harless is licensed to practice in Georgia (license number RN214516) 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 1528768686.

Contact Information

	Mrs Kelly Virga Harless, FNP-C
	256 Mcmillan Rd, Dacula, GA 30019-2337
	(678) 712-4184
	(770) 353-9819

Map and Direction

Provider's Profile

Full Name	Mrs Kelly Virga Harless
Gender	Female
Speciality	Nurse Practitioner - Family
Location	256 Mcmillan Rd, Dacula, Georgia
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1528768686
Provider Enumeration Date: 03/07/2023
Last Update Date: 07/02/2024

Medicare PECOS Information:

PECOS PAC ID: 4284099888
Enrollment ID: I20230504001284

Medical Identifiers

Medical identifiers for Mrs Kelly Virga Harless such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1528768686	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
163W00000X	Registered Nurse	RN214516 (Georgia)	Secondary
363LF0000X	Nurse Practitioner - Family	F10220788 (Georgia)	Secondary
363LF0000X	Nurse Practitioner - Family	RN214516 (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. Mrs Kelly Virga Harless allows following entities to bill medicare on her behalf.

Entity Name	Georgia Heart Institute Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1477976520 PECOS PAC ID: 4183848062 Enrollment ID: O20140616001425

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. Mrs Kelly Virga Harless 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
Mrs Kelly Virga Harless, FNP-C 256 Mcmillan Rd, Dacula, GA 30019-2337 Ph: (678) 712-4184	Mrs Kelly Virga Harless, FNP-C 256 Mcmillan Rd, Dacula, GA 30019-2337 Ph: (678) 712-4184

Reviews and Comments

Nurse Practitioner Nurses in Dacula, GA

Amelia Hassan, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1234 Bentley Estates Dr, Dacula, GA 30019 Phone: 678-507-7094
Dr. Richard Onoja, DNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 3027 Jim Moore Rd, Dacula, GA 30019 Phone: 866-389-2727
Mary Agyei Mensah, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2953 Amabile Rd, Dacula, GA 30019 Phone: 347-589-5874
Jami Jefferson, F.N.P.-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2075 Hamilton Creek Pkwy Ste 200, Dacula, GA 30019 Phone: 770-586-0300 Fax: 770-586-0311
Josephine Fatmata Belmoh, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 505 Dacula Rd, Dacula, GA 30019 Phone: 615-425-4200
Allisan Faye Meadows, FPN-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 465 Dacula Rd Ste I, Dacula, GA 30019 Phone: 770-822-1922
Francis Ikechukwu Njoku, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2842 Blue Stone Ct, Dacula, GA 30019 Phone: 678-760-8952

Mrs Kelly Virga Harless, FNP-C - Medicare Nurse Practitioner in Dacula, GA