Mrs Brandi Selina Queen, FNP is a medicare enrolled "Nurse Practitioner - Family" in Marshville, North Carolina. She graduated from nursing school in 2010 and has 14 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Community Medical, P.a. and her current practice location is
520 W Main St, Marshville, North Carolina. You can reach out to her office (for appointments etc.) via phone at
(704) 624-3388.
Mrs Brandi Selina Queen is licensed to practice in North Carolina (license number 5004900) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1558670604.
Provider's Profile
| Full Name | Mrs Brandi Selina Queen |
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| Gender | Female |
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| Speciality | Nurse Practitioner |
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| Experience | 14 Years |
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| Location | 520 W Main St, Marshville, North Carolina |
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| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Mrs Brandi Selina Queen graduated from nursing school in 2010
NPI Data:
- NPI Number: 1558670604
- Provider Enumeration Date: 10/06/2010
- Last Update Date: 01/28/2019
Medicare PECOS Information:
- PECOS PAC ID: 2769677723
- Enrollment ID: I20101116000689
Medical Identifiers
Medical identifiers for Mrs Brandi Selina Queen such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1558670604 | NPI | - | NPPES |
| 7005602 | Medicaid | NC | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 363LF0000X | Nurse Practitioner - Family | 5004900 (North Carolina) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Community Medical, P.a. | 7719204775 | 2 |
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. Mrs Brandi Selina Queen allows following entities to bill medicare on her behalf.
| Entity Name | Community Medical, P.a. |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1396935193
PECOS PAC ID: 7719204775
Enrollment ID: O20150401000048 |
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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. Mrs Brandi Selina Queen 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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Mrs Brandi Selina Queen, FNP
520 W Main St,
Marshville, NC 28103-1197
Ph: (704) 624-3388 | Mrs Brandi Selina Queen, FNP
520 W Main St,
Marshville, NC 28103-1197
Ph: (704) 624-3388 |
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