Mrs Carleen Willeford, DNP in North Myrtle Beach, SC

Mrs Carleen Willeford, DNP is a medicare enrolled "Nurse Practitioner - Family" in North Myrtle Beach, South Carolina. Her current practice location is 416 Main St, North Myrtle Beach, South Carolina. You can reach out to her office (for appointments etc.) via phone at (843) 663-0933.

Mrs Carleen Willeford is licensed to practice in South Carolina (license number APN3204RX) 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 1164641908.

Contact Information

	Mrs Carleen Willeford, DNP
	416 Main St, North Myrtle Beach, SC 29582-3024
	(843) 663-0933
	(843) 663-0936

Map and Direction

Provider's Profile

Full Name	Mrs Carleen Willeford
Gender	Female
Speciality	Nurse Practitioner - Family
Location	416 Main St, North Myrtle Beach, South Carolina
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1164641908
Provider Enumeration Date: 04/24/2007
Last Update Date: 11/06/2025

Medicare PECOS Information:

PECOS PAC ID: 6103879309
Enrollment ID: I20240926001814

Medical Identifiers

Medical identifiers for Mrs Carleen Willeford such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1164641908	NPI	-	NPPES
016UX	Other	NC	BCBS NC PROVIDER NUMBER
8987642	Medicaid	NC

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	APN3204RX (South Carolina)	Primary
363LF0000X	Nurse Practitioner - Family	201524 (North Carolina)	Secondary
363LP0808X	Nurse Practitioner - Psychiatric/mental Health	3024 (South Carolina)	Secondary

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 Carleen Willeford allows following entities to bill medicare on her behalf.

Entity Name	Coastal Carolinas Integrated Medicine Ii
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1255158788 PECOS PAC ID: 6002357365 Enrollment ID: O20240926001640

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 Carleen Willeford 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
Mrs Carleen Willeford, DNP 10 Doctors Cir, Suite 2, Supply, NC 28462-4089 Ph: (910) 755-6060	Mrs Carleen Willeford, DNP 416 Main St, North Myrtle Beach, SC 29582-3024 Ph: (843) 663-0933

Reviews and Comments

Nurse Practitioner Nurses in North Myrtle Beach, SC

Roman Koryakin, FNP, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3816 Highway 17 S, North Myrtle Beach, SC 29582 Phone: 843-272-1411
Alice Ruth Carter, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1714 Highway 17 S, North Myrtle Beach, SC 29582 Phone: 843-361-0705 Fax: 843-361-4045
Sandra Lee Payne, APRN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1010 Highway 17 N, North Myrtle Beach, SC 29582 Phone: 843-249-1451
Ms. Stacey Lynn Shaw, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2423 Highway 17 S, North Myrtle Beach, SC 29582 Phone: 843-919-0700 Fax: 843-919-0727
Mrs. Tisha Michelle Brown, APRN, FNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1010 Highway 17 N, North Myrtle Beach, SC 29582 Phone: 866-389-2727
Mrs. Barbie Suggs Anderson, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1714 Highway 17 S, North Myrtle Beach, SC 29582 Phone: 843-361-0705
Tracey Michelle Lewis, APRN, NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2021 N Myrtle Point Blvd Ste 102, North Myrtle Beach, SC 29582 Phone: 843-366-3060 Fax: 843-366-3069

Mrs Carleen Willeford, DNP - Medicare Nurse Practitioner in North Myrtle Beach, SC