Kelly Teabo, PA-C - Medicare Physician Assistant in Raleigh, NC

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Kelly Teabo, PA-C is a medicare enrolled "Physician Assistant" in Raleigh, North Carolina. Her current practice location is 1616 E Millbrook Rd Ste 110, Raleigh, North Carolina. You can reach out to her office (for appointments etc.) via phone at (919) 341-4016.

Kelly Teabo is licensed to practice in North Carolina (license number 001005135) 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 1780091918.

Contact Information

Kelly Teabo, PA-C
1616 E Millbrook Rd Ste 110,
Raleigh, NC 27609-4971
(919) 341-4016
Not Available

Map and Direction




Provider's Profile

Full NameKelly Teabo
GenderFemale
SpecialityPhysician Assistant
Location1616 E Millbrook Rd Ste 110, Raleigh, North Carolina
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1780091918
  • Provider Enumeration Date: 07/21/2014
  • Last Update Date: 07/16/2025
  Medicare PECOS Information:
  • PECOS PAC ID: 6608196290
  • Enrollment ID: I20150521002118

Medical Identifiers

Medical identifiers for Kelly Teabo such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1780091918NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363A00000XPhysician Assistant 001005135 (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. Kelly Teabo allows following entities to bill medicare on her behalf.
Entity NameJ. Arthur Dosher Memorial Hospital
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1275660342
PECOS PAC ID: 8921910324
Enrollment ID: O20031104000362
Entity NameVidant Medical Group LLC
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1477648731
PECOS PAC ID: 0345343893
Enrollment ID: O20070321000445
Entity NameMed First Immediate Care & Family Practice PA
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1053503763
PECOS PAC ID: 0446332720
Enrollment ID: O20080124000674
Entity NameMoses Cone Physician Services, Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1093953127
PECOS PAC ID: 4284782210
Enrollment ID: O20090501000202
Entity NameJ. Arthur Dosher Memorial Hospital
Entity TypePart A Provider - Critical Access Hospital
Entity IdentifiersNPI Number: 1538260229
PECOS PAC ID: 8921910324
Enrollment ID: O20091014000478
Entity NameWake Forest Emergency Providers
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1396216735
PECOS PAC ID: 7012819816
Enrollment ID: O20190312003619
Entity NameBrunswick Physician Partners PLLC
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1457822264
PECOS PAC ID: 2062752470
Enrollment ID: O20190321002645

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. Kelly Teabo 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
Kelly Teabo, PA-C
131 Saundersville Rd, Ste 160,
Hendersonville, TN 37075-8903

Ph: (615) 824-3737		Kelly Teabo, PA-C
1616 E Millbrook Rd Ste 110,
Raleigh, NC 27609-4971

Ph: (919) 341-4016

Reviews and Comments


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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.