Sara Elizabeth Bobo, NP is a medicare enrolled "Nurse Practitioner" physician in Canton, Georgia. Her current practice location is
15 Reinhardt College Pkwy Ste 100, Canton, Georgia. You can reach out to her office (for appointments etc.) via phone at
(770) 704-6988.
Sara Elizabeth Bobo is licensed to practice in Georgia (license number RN269980) 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 1346025749.
Physician's Profile
| Full Name | Sara Elizabeth Bobo |
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| Gender | Female |
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| Speciality | Nurse Practitioner |
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| Location | 15 Reinhardt College Pkwy Ste 100, Canton, Georgia |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1346025749
- Provider Enumeration Date: 08/25/2023
- Last Update Date: 12/01/2023
Medicare PECOS Information:
- PECOS PAC ID: 8820447642
- Enrollment ID: I20231205003216
Medical Identifiers
Medical identifiers for Sara Elizabeth Bobo such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1346025749 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207Q00000X | Family Medicine | RN269980 (Georgia) | Secondary |
| 207R00000X | Internal Medicine | RN269980 (Georgia) | Secondary |
| 363L00000X | Nurse Practitioner | RN269980 (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. Sara Elizabeth Bobo allows following entities to bill medicare on her behalf.
| Entity Name | Piedmont Medical Care Corporation |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1912956046
PECOS PAC ID: 6002802220
Enrollment ID: O20040422001500 |
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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. Sara Elizabeth Bobo 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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Sara Elizabeth Bobo, NP
122 Oakview Psge,
Canton, GA 30114-1800
Ph: (678) 389-0858 | Sara Elizabeth Bobo, NP
15 Reinhardt College Pkwy Ste 100,
Canton, GA 30114-5259
Ph: (770) 704-6988 |
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