Nedege Raybourne, in Covington, GA - Medicare Nurse Practitioner

Nedege Raybourne, is a medicare enrolled "Nurse Practitioner - Family" in Covington, Georgia. Her current practice location is 30 Cranbrook Way, Covington, Georgia. You can reach out to her office (for appointments etc.) via phone at (470) 774-0789.

Nedege Raybourne is licensed to practice in Georgia (license number F04180532) 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 1386125516.

Contact Information

	Nedege Raybourne,
	30 Cranbrook Way, Covington, GA 30016-9065
	(470) 774-0789
	Not Available

Map and Direction

Provider's Profile

Full Name	Nedege Raybourne
Gender	Female
Speciality	Nurse Practitioner - Family
Location	30 Cranbrook Way, Covington, Georgia
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1386125516
Provider Enumeration Date: 08/26/2018
Last Update Date: 08/26/2018

Medicare PECOS Information:

PECOS PAC ID: 2668854480
Enrollment ID: I20220726003438

Medical Identifiers

Medical identifiers for Nedege Raybourne such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1386125516	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	RN186313 (Georgia)	Secondary
363LF0000X	Nurse Practitioner - Family	F04180532 (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. Nedege Raybourne allows following entities to bill medicare on her behalf.

Entity Name	Medical Director Services Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1871955807 PECOS PAC ID: 0042501116 Enrollment ID: O20190301002321

Entity Name	Hardy Renew Wellness,llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1952914368 PECOS PAC ID: 2961812425 Enrollment ID: O20201112000534

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. Nedege Raybourne 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
Nedege Raybourne, 30 Cranbrook Way, Covington, GA 30016-9065 Ph: () -	Nedege Raybourne, 30 Cranbrook Way, Covington, GA 30016-9065 Ph: (470) 774-0789

Reviews and Comments

Nurse Practitioner Nurses in Covington, GA

Mrs. Melanie Marie Cox, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 3792 Kraddle Creek Dr, Covington, GA 30014 Phone: 770-490-3350
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Mrs. Christina Marie Hamilton, FNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1775 Access Rd, Covington, GA 30014 Phone: 770-255-0123
Mrs. Hannah Addis, PNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 4181 Hospital Dr Ne, Suite 202, Covington, GA 30014 Phone: 770-728-1901 Fax: 770-728-1907
Dr. Ogochukwu Ojiaku, DNP, PMHNP-BC, FNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 165 Avonlea Dr, Covington, GA 30016 Phone: 404-457-3743
Dawn Aiesha Printup, FNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 10600 Lochridge Blvd, Covington, GA 30014 Phone: 229-391-3500

Nedege Raybourne, - Medicare Nurse Practitioner in Covington, GA