Mrs Yudelky Tereza Bentley, NP-C is a medicare enrolled "Nurse Practitioner - Family" physician in Stockbridge, Georgia. Her current practice location is
1070 Eagles Landing Pkwy, Stockbridge, Georgia. You can reach out to her office (for appointments etc.) via phone at
(678) 718-8403.
Mrs Yudelky Tereza Bentley is licensed to practice in Georgia (license number RN165381) 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 1124660659.
Physician's Profile
Full Name | Mrs Yudelky Tereza Bentley |
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Gender | Female |
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Speciality | Nurse Practitioner - Family |
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Location | 1070 Eagles Landing Pkwy, Stockbridge, 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: 1124660659
- Provider Enumeration Date: 10/16/2019
- Last Update Date: 05/01/2023
Medicare PECOS Information:
- PECOS PAC ID: 4789072844
- Enrollment ID: I20211022002095
Medical Identifiers
Medical identifiers for Mrs Yudelky Tereza Bentley such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1124660659 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207R00000X | Internal Medicine | RN165381 (Georgia) | Secondary |
363LF0000X | Nurse Practitioner - Family | RN165381 (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. Mrs Yudelky Tereza Bentley allows following entities to bill medicare on her behalf.
Entity Name | Fusion Direct Medical And Wellness |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1427729318 PECOS PAC ID: 3870981939 Enrollment ID: O20211022001952 |
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Entity Name | Fusion Direct Medical And Wellness |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1427729318 PECOS PAC ID: 9537525845 Enrollment ID: O20230511001247 |
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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 Yudelky Tereza Bentley 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 Yudelky Tereza Bentley, NP-C 1170 Eagles Landing Parkway, Stockbridge, GA 30281-2584 Ph: (678) 718-8403 | Mrs Yudelky Tereza Bentley, NP-C 1070 Eagles Landing Pkwy, Stockbridge, GA 30281-5012 Ph: (678) 718-8403 |
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