Mary Kelly Harbin, NP-C - Medicare Nurse Practitioner in Rome, GA

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Mary Kelly Harbin, NP-C is a medicare enrolled "Nurse Practitioner" in Rome, Georgia. Her current practice location is 1825 Martha Berry Blvd Nw, Rome, Georgia. You can reach out to her office (for appointments etc.) via phone at (706) 238-8012.

Mary Kelly Harbin is licensed to practice in Georgia (license number RN155084) 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 1083874119.

Contact Information

Mary Kelly Harbin, NP-C
1825 Martha Berry Blvd Nw,
Rome, GA 30165-1625
(706) 238-8012
(706) 238-8013

Map and Direction




Provider's Profile

Full NameMary Kelly Harbin
GenderFemale
SpecialityNurse Practitioner
Location1825 Martha Berry Blvd Nw, Rome, Georgia
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1083874119
  • Provider Enumeration Date: 06/12/2008
  • Last Update Date: 08/20/2019
  Medicare PECOS Information:
  • PECOS PAC ID: 5890831374
  • Enrollment ID: I20091014000445

Medical Identifiers

Medical identifiers for Mary Kelly Harbin such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1083874119NPI-NPPES
003105007AMedicaidGA

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363L00000XNurse Practitioner RN155084 (Georgia)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. Mary Kelly Harbin allows following entities to bill medicare on her behalf.
Entity NameFloyd Healthcare Management Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1689610149
PECOS PAC ID: 5193633386
Enrollment ID: O20040127000897
Entity NameNorthwest Georgia Medical Clinic, P.c.
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1053462325
PECOS PAC ID: 7315839743
Enrollment ID: O20040329001145

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. Mary Kelly Harbin 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
Mary Kelly Harbin, NP-C
15 Riverbend Dr Sw,
Rome, GA 30161-6005

Ph: (706) 295-5331		Mary Kelly Harbin, NP-C
1825 Martha Berry Blvd Nw,
Rome, GA 30165-1625

Ph: (706) 238-8012

Reviews and Comments


Nurse Practitioner Nurses in Rome, GA

Charles Brown, NP
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Medicare: Medicare Enrolled
Practice Location: 304 Turner Mccall Blvd Sw, Rome, GA 30165
Phone: 706-509-6515    
Hilarie Hincy Rankin, ACNPC-AG
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Medicare: Accepting Medicare Assignments
Practice Location: 100 John Maddox Dr Nw Ste 100, Rome, GA 30165
Phone: 706-528-9060    Fax: 706-528-9061
Mckenzi Paige Brumby, WHNP-BC
Nurse Practitioner
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Practice Location: 330 Turner Mccall Blvd Sw, Rome, GA 30165
Phone: 762-235-2710    Fax: 706-291-2227
Ashley Nicole Wilbanks, NP-C
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Medicare: Accepting Medicare Assignments
Practice Location: 550 Redmond Rd Nw, Suite A, Rome, GA 30165
Phone: 706-233-8506    Fax: 706-233-8507
Ronald Seth Van Dyke, FNP-C
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Medicare: Accepting Medicare Assignments
Practice Location: 19 Redmond Rd Nw, Rome, GA 30165
Phone: 762-235-3960    Fax: 706-233-8505
Alexis Butler,
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 4159 Martha Berry Hwy Nw, Rome, GA 30165
Phone: 706-232-8477    
Linda H. Hoffmann, N.P.
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 304 Shorter Ave Nw, Suite 102, Rome, GA 30165
Phone: 706-233-9349    Fax: 706-232-7986

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.