Mikeisha Brannock, RDN is a medicare enrolled "Dietitian, Registered" provider in Supply, North Carolina. She graduated from medical school in 2018 and has 8 years of diverse experience with area of expertise as Registered Dietitian Or Nutrition Professional. She is a member of the group practice Nutrition In Motion, Nutrition In Motion and her current practice location is
20 Medical Campus Dr Nw Ste 206, Supply, North Carolina. You can reach out to her office (for appointments etc.) via phone at
(910) 239-3562.
Mikeisha Brannock is licensed to practice in * (Not Available) (license number ) 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 1962215293.
Healthcare Provider's Profile
| Full Name | Mikeisha Brannock |
|---|
| Gender | Female |
|---|
| Speciality | Registered Dietitian Or Nutrition Professional |
|---|
| Experience | 8 Years |
|---|
| Location | 20 Medical Campus Dr Nw Ste 206, Supply, North Carolina |
|---|
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
|---|
Medical Education and Training:
- Mikeisha Brannock graduated from medical school in 2018
NPI Data:
- NPI Number: 1962215293
- Provider Enumeration Date: 01/30/2025
- Last Update Date: 01/30/2025
Medicare PECOS Information:
- PECOS PAC ID: 9032632419
- Enrollment ID: I20260114000094
Medical Identifiers
Medical identifiers for Mikeisha Brannock such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1962215293 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 133V00000X | Dietitian, Registered | (* (Not Available)) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Nutrition In Motion | 8123281938 | 16 |
| Nutrition In Motion | 8123281938 | 16 |
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. Mikeisha Brannock allows following entities to bill medicare on her behalf.
| Provider Name | Nutrition in Motion |
|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
|---|
| Provider Identifiers | NPI Number: 1174800577
PECOS PAC ID: 8123281938
Enrollment ID: O20211027002643 |
|---|
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. Mikeisha Brannock 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 |
|---|
Mikeisha Brannock, RDN
2517 Delaney Ave,
Wilmington, NC 28403-6003
Ph: (910) 239-3562 | Mikeisha Brannock, RDN
20 Medical Campus Dr Nw Ste 206,
Supply, NC 28462-4094
Ph: (910) 239-3562 |
Reviews and Comments