Tequillia Flewellen, APRN is a medicare enrolled "Family Medicine" physician in Milner, Georgia. She graduated from medical school in 2015 and has 11 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Ennoble Hc Dmv Llc and her current practice location is
1019 Morgan Dairy Rd, Milner, Georgia. You can reach out to her office (for appointments etc.) via phone at
(770) 927-5263.
Tequillia Flewellen is licensed to practice in Georgia (license number RN191895) 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 1902620529.
Physician's Profile
| Full Name | Tequillia Flewellen |
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| Gender | Female |
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| Speciality | Nurse Practitioner |
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| Experience | 11 Years |
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| Location | 1019 Morgan Dairy Rd, Milner, 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:
- Tequillia Flewellen graduated from medical school in 2015
NPI Data:
- NPI Number: 1902620529
- Provider Enumeration Date: 11/11/2024
- Last Update Date: 11/11/2024
Medicare PECOS Information:
- PECOS PAC ID: 7719478981
- Enrollment ID: I20251114003671
Medical Identifiers
Medical identifiers for Tequillia Flewellen such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1902620529 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207Q00000X | Family Medicine | RN191895 (Georgia) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Ennoble Hc Dmv Llc | 9032517925 | 112 |
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. Tequillia Flewellen allows following entities to bill medicare on her behalf.
| Entity Name | Ennoble HC Dmv LLC |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1104492115
PECOS PAC ID: 9032517925
Enrollment ID: O20211029000202 |
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| Entity Name | Ennoble HC Dmv II LLC |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1134002900
PECOS PAC ID: 0840789749
Enrollment ID: O20251231001296 |
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| Entity Name | Ennoble HC Dmv III LLC |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1922981695
PECOS PAC ID: 5092205856
Enrollment ID: O20251231002447 |
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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. Tequillia Flewellen 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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Tequillia Flewellen, APRN
1019 Morgan Dairy Rd,
Milner, GA 30257-3130
Ph: (770) 927-5263 | Tequillia Flewellen, APRN
1019 Morgan Dairy Rd,
Milner, GA 30257-3130
Ph: (770) 927-5263 |
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