Nancy Susan Desillier, RN in Bolivia, NC - Medicare Nurse Practitioner

Nancy Susan Desillier, RN is a medicare enrolled "Nurse Practitioner" in Bolivia, North Carolina. Her current practice location is 257 Hospital Dr Ne Ste 100, Bolivia, North Carolina. You can reach out to her office (for appointments etc.) via phone at (910) 721-4150.

Nancy Susan Desillier is licensed to practice in North Carolina (license number 5019582) 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 1104524271.

Contact Information

	Nancy Susan Desillier, RN
	257 Hospital Dr Ne Ste 100, Bolivia, NC 28422-8411
	(910) 721-4150
	(910) 721-4159

Map and Direction

Provider's Profile

Full Name	Nancy Susan Desillier
Gender	Female
Speciality	Nurse Practitioner
Location	257 Hospital Dr Ne Ste 100, Bolivia, North Carolina
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1104524271
Provider Enumeration Date: 02/20/2023
Last Update Date: 04/11/2024

Medicare PECOS Information:

PECOS PAC ID: 1153760194
Enrollment ID: I20240423003473

Medical Identifiers

Medical identifiers for Nancy Susan Desillier such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1104524271	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
163W00000X	Registered Nurse	351739 (North Carolina)	Secondary
363L00000X	Nurse Practitioner	5019582 (North 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. Nancy Susan Desillier allows following entities to bill medicare on her behalf.

Entity Name	Novant Medical Group Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1366409492 PECOS PAC ID: 1153234893 Enrollment ID: O20031121000692

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. Nancy Susan Desillier 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
Nancy Susan Desillier, RN Po Box 60447, Charlotte, NC 28260-0447 Ph: () -	Nancy Susan Desillier, RN 257 Hospital Dr Ne Ste 100, Bolivia, NC 28422-8411 Ph: (910) 721-4150

Reviews and Comments

Nurse Practitioner Nurses in Bolivia, NC

Mr. James Bryant Pate, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 257 Hospital Dr Ne Ste 201, Bolivia, NC 28422 Phone: 910-662-9500 Fax: 910-662-9501
Zachary James Murphy, FNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 584 Hospital Dr Ne Unit D, Bolivia, NC 28422 Phone: 910-721-4150
Mrs. Noemi Alicea James, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 257 Hospital Dr Ne Ste 101, Bolivia, NC 28422 Phone: 910-721-4100 Fax: 910-721-4101
Mrs. Victoria Edwards Smith, OBNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 25 Courthouse Dr. Ne, Box 9, Bolivia, NC 28422 Phone: 910-253-2250 Fax: 910-253-2370
Nicole Pray Kollman, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 257 Hospital Dr, Ste 201, Bolivia, NC 28422 Phone: 910-662-9500 Fax: 910-662-9501
Mrs. Kerri Barbee Hardee, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 240 Hospital Dr Ne, Bolivia, NC 28422 Phone: 910-721-1000
Beverly Anne Montalvo, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 584 Hospital Dr Ne Unit E, Bolivia, NC 28422 Phone: 910-662-9500 Fax: 910-662-9501

Nancy Susan Desillier, RN - Medicare Nurse Practitioner in Bolivia, NC