Anjelica Jefferson, CPNP-AC in Gainesville, GA

Anjelica Jefferson, CPNP-AC is a medicare enrolled "Nurse Practitioner - Acute Care" in Gainesville, Georgia. Her current practice location is 743 Spring St Ne, Gainesville, Georgia. You can reach out to her office (for appointments etc.) via phone at (770) 535-3611.

Anjelica Jefferson is licensed to practice in Georgia (license number RN230248) 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 1568126118.

Contact Information

	Anjelica Jefferson, CPNP-AC
	743 Spring St Ne, Gainesville, GA 30501-3715
	(770) 535-3611
	(770) 535-7092

Map and Direction

Provider's Profile

Full Name	Anjelica Jefferson
Gender	Female
Speciality	Nurse Practitioner - Acute Care
Location	743 Spring St Ne, Gainesville, Georgia
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1568126118
Provider Enumeration Date: 10/28/2021
Last Update Date: 11/06/2023

Medicare PECOS Information:

PECOS PAC ID: 5991163511
Enrollment ID: I20230614000746

Medical Identifiers

Medical identifiers for Anjelica Jefferson such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1568126118	NPI	-	NPPES
003262836	Other	GA	MEDICAID

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LP0200X	Nurse Practitioner - Pediatrics	RN230248 (ZZ)	Secondary
363LP0200X	Nurse Practitioner - Pediatrics	RN230248 (Georgia)	Secondary
363LP0222X	Nurse Practitioner - Pediatrics, Critical Care	RN230248 (Georgia)	Secondary
363LA2100X	Nurse Practitioner - Acute Care	RN230248 (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. Anjelica Jefferson allows following entities to bill medicare on her behalf.

Entity Name	The Longstreet Clinic, Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1326019977 PECOS PAC ID: 2668465733 Enrollment ID: O20040405001521

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. Anjelica Jefferson 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
Anjelica Jefferson, CPNP-AC 2015 Uppergate Drive Neonatology Dept, Atlanta, GA 30322-0001 Ph: (404) 727-3360	Anjelica Jefferson, CPNP-AC 743 Spring St Ne, Gainesville, GA 30501-3715 Ph: (770) 535-3611

Reviews and Comments

Nurse Practitioner Nurses in Gainesville, GA

Mrs. Nancy Fletcher Mccall, APRN-BC-CNSPMH Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 4375 Spainhill Road, Gainesville, GA 30504 Phone: 770-654-4599
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Anela D Pearson, AGACNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 743 Spring St Ne, Gainesville, GA 30501 Phone: 770-534-2020 Fax: 770-534-8025
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Bryan Scott Engel, NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1250 Jesse Jewell Pkwy Se Ste 200, Gainesville, GA 30501 Phone: 770-297-7277
Laura J Banner, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1315 Jesse Jewell Pkwy Ne Ste 300, Gainesville, GA 30501 Phone: 770-219-6520
Molly Bruce, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1250 Jesse Jewell Pkwy Se Ste 200, Gainesville, GA 30501 Phone: 770-297-7277

Anjelica Jefferson, CPNP-AC - Medicare Nurse Practitioner in Gainesville, GA