Marshet Tenaw, is a medicare enrolled "Nurse Practitioner - Family" physician in Stone Mountain, Georgia. Her current practice location is
4958 Memorial Dr, Stone Mountain, Georgia. You can reach out to her office (for appointments etc.) via phone at
(404) 809-2480.
Marshet Tenaw is licensed to practice in Georgia (license number RN216626) 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 1366158669.
Physician's Profile
Full Name | Marshet Tenaw |
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Gender | Female |
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Speciality | Nurse Practitioner - Family |
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Location | 4958 Memorial Dr, Stone Mountain, Georgia |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1366158669
- Provider Enumeration Date: 01/30/2023
- Last Update Date: 11/06/2023
Medicare PECOS Information:
- PECOS PAC ID: 0345601670
- Enrollment ID: I20230802001495
Medical Identifiers
Medical identifiers for Marshet Tenaw such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1366158669 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207QA0505X | Family Medicine - Adult Medicine | RN216626 (Georgia) | Secondary |
363LF0000X | Nurse Practitioner - Family | RN216626 (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. Marshet Tenaw allows following entities to bill medicare on her behalf.
Entity Name | Georgia Nephrology, Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1063422723 PECOS PAC ID: 4082606496 Enrollment ID: O20040402000838 |
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Entity Name | Signify Health Medical Associates Pllc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1750845863 PECOS PAC ID: 2163764424 Enrollment ID: O20200115001292 |
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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. Marshet Tenaw 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 |
Marshet Tenaw, 25 Villa Place Ct, Tucker, GA 30084-1972 Ph: (770) 685-8821 | Marshet Tenaw, 4958 Memorial Dr, Stone Mountain, GA 30083-4148 Ph: (404) 809-2480 |
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