Mia Beveridge, NP is a medicare enrolled "Nurse Practitioner - Family" in Cusseta, Georgia. Her current practice location is
298 Us Highway 520, Cusseta, Georgia. You can reach out to her office (for appointments etc.) via phone at
(706) 989-1050.
Mia Beveridge is licensed to practice in Georgia (license number RN221664) 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 1508377557.
Provider's Profile
| Full Name | Mia Beveridge |
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| Gender | Female |
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| Speciality | Nurse Practitioner - Family |
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| Location | 298 Us Highway 520, Cusseta, Georgia |
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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: 1508377557
- Provider Enumeration Date: 10/17/2017
- Last Update Date: 06/28/2024
Medicare PECOS Information:
- PECOS PAC ID: 8224428347
- Enrollment ID: I20211203002553
Medical Identifiers
Medical identifiers for Mia Beveridge such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1508377557 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 363LF0000X | Nurse Practitioner - Family | RN221664 (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. Mia Beveridge allows following entities to bill medicare on her behalf.
| Entity Name | Careconnect Health Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1063436624
PECOS PAC ID: 7810980794
Enrollment ID: O20040406001286 |
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| Entity Name | Rural Urgent Care Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1932586476
PECOS PAC ID: 8820305600
Enrollment ID: O20201029003001 |
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| Entity Name | Copilotiq Pc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1316527203
PECOS PAC ID: 7810392040
Enrollment ID: O20220322001910 |
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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. Mia Beveridge 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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Mia Beveridge, NP
298 Us Highway 520,
Cusseta, GA 31805-3602
Ph: (706) 989-1050 | Mia Beveridge, NP
298 Us Highway 520,
Cusseta, GA 31805-3602
Ph: (706) 989-1050 |
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