Mrs Makayla Nicole Hardeman, WHNP-BC, CNM is a medicare enrolled "Advanced Practice Midwife" in Dublin, Georgia. Her current practice location is
104 Fairview Park Dr Ste 300, Dublin, Georgia. You can reach out to her office (for appointments etc.) via phone at
(478) 246-4304.
Mrs Makayla Nicole Hardeman is licensed to practice in Georgia (license number RN274807) 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 1891426656.
Provider's Profile
| Full Name | Mrs Makayla Nicole Hardeman |
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| Gender | Female |
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| Speciality | Advanced Practice Midwife |
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| Location | 104 Fairview Park Dr Ste 300, Dublin, Georgia |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1891426656
- Provider Enumeration Date: 06/22/2022
- Last Update Date: 06/14/2024
Medicare PECOS Information:
- PECOS PAC ID: 5597148734
- Enrollment ID: I20220819002502
Medical Identifiers
Medical identifiers for Mrs Makayla Nicole Hardeman such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1891426656 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 363LW0102X | Nurse Practitioner - Women's Health | RN274807 (Georgia) | Secondary |
| 367A00000X | Advanced Practice Midwife | RN274807 (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 Makayla Nicole Hardeman allows following entities to bill medicare on her behalf.
| Entity Name | Providence Obgyn Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1124750369
PECOS PAC ID: 7719360536
Enrollment ID: O20220811001739 |
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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. Mrs Makayla Nicole Hardeman 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 Makayla Nicole Hardeman, WHNP-BC, CNM
104 Fairview Park Dr Ste 300,
Dublin, GA 31021-2567
Ph: (478) 246-4304 | Mrs Makayla Nicole Hardeman, WHNP-BC, CNM
104 Fairview Park Dr Ste 300,
Dublin, GA 31021-2567
Ph: (478) 246-4304 |
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