Mitzi Weekley, FNP-C is a medicare enrolled "Nurse Practitioner - Family" in Jeffersonville, Georgia. Her current practice location is
101 Watson Dr Ste B, Jeffersonville, Georgia. You can reach out to her office (for appointments etc.) via phone at
(478) 945-6522.
Mitzi Weekley is licensed to practice in Georgia (license number RN080584) 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 1003326604.
Provider's Profile
Full Name | Mitzi Weekley |
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Gender | Female |
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Speciality | Nurse Practitioner - Family |
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Location | 101 Watson Dr Ste B, Jeffersonville, Georgia |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1003326604
- Provider Enumeration Date: 10/09/2017
- Last Update Date: 10/01/2019
Medicare PECOS Information:
- PECOS PAC ID: 9931451549
- Enrollment ID: I20181010000192
Medical Identifiers
Medical identifiers for Mitzi Weekley such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1003326604 | NPI | - | NPPES |
RN080584 | Other | GA | MEDICAL LICENSE |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
363LF0000X | Nurse Practitioner - Family | RN080584 (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. Mitzi Weekley allows following entities to bill medicare on her behalf.
Entity Name | Community Health Care Systems, Inc. |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1932150422 PECOS PAC ID: 5890783179 Enrollment ID: O20040505000153 |
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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. Mitzi Weekley 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 |
Mitzi Weekley, FNP-C Po Box 371, Wrightsville, GA 31096-0371 Ph: (478) 864-3448 | Mitzi Weekley, FNP-C 101 Watson Dr Ste B, Jeffersonville, GA 31044-5508 Ph: (478) 945-6522 |
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