Jennifer Tillman Boney, MSN, PMHNP-BC - Medicare Nurse Practitioner in Goldsboro, NC

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Jennifer Tillman Boney, MSN, PMHNP-BC is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" in Goldsboro, North Carolina. Her current practice location is 208 Malloy St Ste B, Goldsboro, North Carolina. You can reach out to her office (for appointments etc.) via phone at (984) 520-6080.

Jennifer Tillman Boney is licensed to practice in North Carolina (license number 5015694) 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 1366109894.

Contact Information

Jennifer Tillman Boney, MSN, PMHNP-BC
208 Malloy St Ste B,
Goldsboro, NC 27534-4478
(984) 520-6080
(984) 520-6081

Map and Direction




Provider's Profile

Full NameJennifer Tillman Boney
GenderFemale
SpecialityNurse Practitioner - Psychiatric/mental Health
Location208 Malloy St Ste B, Goldsboro, North Carolina
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1366109894
  • Provider Enumeration Date: 11/18/2021
  • Last Update Date: 06/30/2022
  Medicare PECOS Information:
  • PECOS PAC ID: 1557745601
  • Enrollment ID: I20220908002503

Medical Identifiers

Medical identifiers for Jennifer Tillman Boney such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1366109894NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
163WP0808XRegistered Nurse - Psychiatric/mental Health 171855 (North Carolina)Secondary
363LP0808XNurse Practitioner - Psychiatric/mental Health 5015694 (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. Jennifer Tillman Boney allows following entities to bill medicare on her behalf.
Entity NamePride In North Carolina Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1760420186
PECOS PAC ID: 9638105869
Enrollment ID: O20050711000558
Entity NameEventus Wholehealth Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1548759392
PECOS PAC ID: 6002169539
Enrollment ID: O20181030001281
Entity NameEventus Wholehealth Aco Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1023796307
PECOS PAC ID: 8921469651
Enrollment ID: O20230727003681
Entity NameEventus Wh Southeast, Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1487494811
PECOS PAC ID: 5496294456
Enrollment ID: O20240822002165

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. Jennifer Tillman Boney 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 AddressPractice Location Address
Jennifer Tillman Boney, MSN, PMHNP-BC
2416 Bedgood Dr Sw,
Wilson, NC 27893-8515

Ph: (252) 265-9200		Jennifer Tillman Boney, MSN, PMHNP-BC
208 Malloy St Ste B,
Goldsboro, NC 27534-4478

Ph: (984) 520-6080

Reviews and Comments


Nurse Practitioner Nurses in Goldsboro, NC

Alyson Hardison, NP
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Practice Location: 2809 Mclamb Pl, Goldsboro, NC 27534
Phone: 919-580-9840    Fax: 919-580-9838
Mrs. Katie Michelle Anthony, ARNP
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Medicare: Not Enrolled in Medicare
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Mrs. Lauren Lancaster,
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Mrs. Jennifer Potter, NP
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Medicare: Medicare Enrolled
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Ronnie Elaine Edmundson, NP
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Medicare: Not Enrolled in Medicare
Practice Location: 2706 Medical Office Pl, Goldsboro, NC 27534
Phone: 919-734-4736    Fax: 919-580-1017

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.