Mrs Michelle Whitehead, RN is a medicare enrolled "Nurse Practitioner" in East Dublin, Georgia. She graduated from nursing school in 2019 and has 5 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Southeast Medical Group, P.c. and her current practice location is
406 Central Dr, East Dublin, Georgia. You can reach out to her office (for appointments etc.) via phone at
(478) 488-3057.
Mrs Michelle Whitehead is licensed to practice in Georgia (license number RN184151) 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 1336325679.
Provider's Profile
| Full Name | Mrs Michelle Whitehead |
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| Gender | Female |
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| Speciality | Nurse Practitioner |
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| Experience | 5 Years |
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| Location | 406 Central Dr, East Dublin, 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:
- Mrs Michelle Whitehead graduated from nursing school in 2019
NPI Data:
- NPI Number: 1336325679
- Provider Enumeration Date: 01/17/2008
- Last Update Date: 05/09/2024
Medicare PECOS Information:
- PECOS PAC ID: 1355670555
- Enrollment ID: I20190913001250
Medical Identifiers
Medical identifiers for Mrs Michelle Whitehead such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1336325679 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 163W00000X | Registered Nurse | RN184151 (Georgia) | Secondary |
| 363L00000X | Nurse Practitioner | RN184151 (Georgia) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Southeast Medical Group, P.c. | 3577559673 | 118 |
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 Michelle Whitehead allows following entities to bill medicare on her behalf.
| Entity Name | Southeast Medical Group, P.c. |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1235296054
PECOS PAC ID: 3577559673
Enrollment ID: O20040423000347 |
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| Entity Name | Infinite Medical Pc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1407483175
PECOS PAC ID: 8325477656
Enrollment ID: O20201119003156 |
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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 Michelle Whitehead 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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Mrs Michelle Whitehead, RN
2121a Bellevue Rd,
Dublin, GA 31021-2998
Ph: (478) 272-1190 | Mrs Michelle Whitehead, RN
406 Central Dr,
East Dublin, GA 31027-7412
Ph: (478) 488-3057 |
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