Mrs Rosa Mirna Medina, FNP-C in Charlotte, NC

Mrs Rosa Mirna Medina, FNP-C is a medicare enrolled "Nurse Practitioner - Family" in Charlotte, North Carolina. Her current practice location is 8401 Medical Plaza Dr Ste 300, Charlotte, North Carolina. You can reach out to her office (for appointments etc.) via phone at (704) 316-6561.

Mrs Rosa Mirna Medina is licensed to practice in North Carolina (license number 5021474) 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 1689454241.

Contact Information

	Mrs Rosa Mirna Medina, FNP-C
	8401 Medical Plaza Dr Ste 300, Charlotte, NC 28262-8702
	(704) 316-6561
	Not Available

Map and Direction

Provider's Profile

Full Name	Mrs Rosa Mirna Medina
Gender	Female
Speciality	Nurse Practitioner - Family
Location	8401 Medical Plaza Dr Ste 300, Charlotte, North Carolina
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1689454241
Provider Enumeration Date: 10/02/2023
Last Update Date: 01/10/2025

Medicare PECOS Information:

PECOS PAC ID: 8426575267
Enrollment ID: I20250506001653

Medical Identifiers

Medical identifiers for Mrs Rosa Mirna Medina such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1689454241	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
163W00000X	Registered Nurse	331759 (North Carolina)	Secondary
363LF0000X	Nurse Practitioner - Family	5021474 (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. Mrs Rosa Mirna Medina allows following entities to bill medicare on her behalf.

Entity Name	Charlotte Community Health Clinic, Inc.
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1528363868 PECOS PAC ID: 0840502274 Enrollment ID: O20150626001703

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 Rosa Mirna Medina 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 Rosa Mirna Medina, FNP-C 16138 Stuarts Draft Ct, Charlotte, NC 28278-7278 Ph: (980) 200-4165	Mrs Rosa Mirna Medina, FNP-C 8401 Medical Plaza Dr Ste 300, Charlotte, NC 28262-8702 Ph: (704) 316-6561

Reviews and Comments

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Mrs Rosa Mirna Medina, FNP-C - Medicare Nurse Practitioner in Charlotte, NC