Courtney Thacker Mckillop, FNP-C in Kernersville, NC

Courtney Thacker Mckillop, FNP-C is a medicare enrolled "Nurse Practitioner - Primary Care" in Kernersville, North Carolina. Her current practice location is 490 Pineview Dr Ste A, Kernersville, North Carolina. You can reach out to her office (for appointments etc.) via phone at (336) 992-2340.

Courtney Thacker Mckillop is licensed to practice in North Carolina (license number 5021509) 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 1134939689.

Contact Information

	Courtney Thacker Mckillop, FNP-C
	490 Pineview Dr Ste A, Kernersville, NC 27284-3995
	(336) 992-2340
	(336) 992-2350

Map and Direction

Provider's Profile

Full Name	Courtney Thacker Mckillop
Gender	Female
Speciality	Nurse Practitioner - Primary Care
Location	490 Pineview Dr Ste A, Kernersville, 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: 1134939689
Provider Enumeration Date: 01/08/2025
Last Update Date: 03/17/2025

Medicare PECOS Information:

PECOS PAC ID: 9739600941
Enrollment ID: I20250304003060

Medical Identifiers

Medical identifiers for Courtney Thacker Mckillop such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1134939689	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363L00000X	Nurse Practitioner	5021509 (North Carolina)	Secondary
363LP2300X	Nurse Practitioner - Primary Care	5021509 (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. Courtney Thacker Mckillop allows following entities to bill medicare on her behalf.

Entity Name	Novant Health Medical Group, Llc
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. Courtney Thacker Mckillop 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
Courtney Thacker Mckillop, FNP-C Po Box 60447, Charlotte, NC 28260-0447 Ph: (336) 992-2340	Courtney Thacker Mckillop, FNP-C 490 Pineview Dr Ste A, Kernersville, NC 27284-3995 Ph: (336) 992-2340

Reviews and Comments

Nurse Practitioner Nurses in Kernersville, NC

Dr. Joshua Lee Mcdaniel, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1730 Kernersville Medical Pkwy Ste 203, Kernersville, NC 27284 Phone: 336-564-4445 Fax: 336-992-3240
Mrs. Susan D. Sander, N.P. Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1695 Kernersville Medical Pkwy, Kernersville, NC 27284 Phone: 336-515-5000 Fax: 336-515-5400
Lisa V Yang, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 420 W Mountain St, Kernersville, NC 27284 Phone: 336-993-1618 Fax: 336-993-5512
Mrs. Arian Minton Robinson, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 291 Broad St, Kernersville, NC 27284 Phone: 336-993-8181 Fax: 336-996-9538
Dr. Shauna Embler Jarrett, DNP, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 291 Broad St, Kernersville, NC 27284 Phone: 336-993-8181 Fax: 336-996-9538
Lisa Ann Kiger, APRN-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1710 Kernersville Medical Pkwy Ste 205, Kernersville, NC 27284 Phone: 336-996-7076 Fax: 336-996-7832
Mrs. Tami Jo Bruggeman, MSN, APRN, FNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1730 Kernersville Medical Pkwy Ste 201, Kernersville, NC 27284 Phone: 336-515-7060 Fax: 336-515-7069

Courtney Thacker Mckillop, FNP-C - Medicare Nurse Practitioner in Kernersville, NC