Eileen Marie Quilty, NP is a medicare enrolled "Family Medicine" in Durham, North Carolina. Her current practice location is
2645 Meridian Pkwy Ste 323, Durham, North Carolina. You can reach out to her office (for appointments etc.) via phone at
(984) 227-8902.
Eileen Marie Quilty is licensed to practice in North Carolina (license number 600036) 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 1891773008.
Provider's Profile
| Full Name | Eileen Marie Quilty |
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| Gender | Female |
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| Speciality | Family Medicine |
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| Location | 2645 Meridian Pkwy Ste 323, Durham, North Carolina |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1891773008
- Provider Enumeration Date: 01/06/2006
- Last Update Date: 05/28/2020
Medicare PECOS Information:
- PECOS PAC ID: 6709892250
- Enrollment ID: I20060221000882
Medical Identifiers
Medical identifiers for Eileen Marie Quilty such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1891773008 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 363L00000X | Nurse Practitioner | 0006-00036 (North Carolina) | Secondary |
| 207Q00000X | Family Medicine | 600036 (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. Eileen Marie Quilty allows following entities to bill medicare on her behalf.
| Entity Name | Wake Forest University Health Sciences |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1003803032
PECOS PAC ID: 4486564952
Enrollment ID: O20031105000436 |
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| Entity Name | Vitae Health Medical North Carolina Pllc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1265064414
PECOS PAC ID: 7719317932
Enrollment ID: O20200430000531 |
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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. Eileen Marie Quilty 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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Eileen Marie Quilty, NP
10320 Feld Farm Ln Ste 300,
Charlotte, NC 28210-8484
Ph: (704) 541-0925 | Eileen Marie Quilty, NP
2645 Meridian Pkwy Ste 323,
Durham, NC 27713-4232
Ph: (984) 227-8902 |
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