Anya Wiedenbeck, MSN, APRN, FNP-C in Forest Park, GA

Anya Wiedenbeck, MSN, APRN, FNP-C is a medicare enrolled "Nurse Practitioner - Family" in Forest Park, Georgia. Her current practice location is 455 Forest Pkwy, Forest Park, Georgia. You can reach out to her office (for appointments etc.) via phone at (678) 705-0100.

Anya Wiedenbeck is licensed to practice in Georgia (license number RN260056) 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 1417657800.

Contact Information

	Anya Wiedenbeck, MSN, APRN, FNP-C
	455 Forest Pkwy, Forest Park, GA 30297-2126
	(678) 705-0100
	Not Available

Map and Direction

Provider's Profile

Full Name	Anya Wiedenbeck
Gender	Female
Speciality	Nurse Practitioner - Family
Location	455 Forest Pkwy, Forest Park, Georgia
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1417657800
Provider Enumeration Date: 03/06/2023
Last Update Date: 03/06/2023

Medicare PECOS Information:

PECOS PAC ID: 2466898622
Enrollment ID: I20240311000331

Medical Identifiers

Medical identifiers for Anya Wiedenbeck such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1417657800	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	RN260056 (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. Anya Wiedenbeck allows following entities to bill medicare on her behalf.

Entity Name	Wellbe Senior Medical Group Of Georgia, P. C.
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1205463163 PECOS PAC ID: 3375972243 Enrollment ID: O20200601002024

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. Anya Wiedenbeck 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
Anya Wiedenbeck, MSN, APRN, FNP-C 4502 Woodhall Way Ne, Roswell, GA 30075-1997 Ph: (678) 879-8581	Anya Wiedenbeck, MSN, APRN, FNP-C 455 Forest Pkwy, Forest Park, GA 30297-2126 Ph: (678) 705-0100

Reviews and Comments

Nurse Practitioner Nurses in Forest Park, GA

Melva L Banks, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 4146 Jonesboro Rd, Forest Park, GA 30297 Phone: 470-666-4762 Fax: 770-264-5181
Antoinette Denise Palomino, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 4905 Courtney Dr, Forest Park, GA 30297 Phone: 404-366-3636 Fax: 404-362-0808
Mrs. Arleen Revely, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 528 Forest Pkwy Ste A, Forest Park, GA 30297 Phone: 404-918-8118
Ms. Tasia Logan, FNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 4146 Jonesboro Rd, Forest Park, GA 30297 Phone: 470-666-4762
Charles Jenkins Iii, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 4390 Governors Drive, Suite 409, Forest Park, GA 30297 Phone: 404-366-3647 Fax: 404-366-3648
Mrs. Lisa Roseberry, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 4905 Courtney Dr, Forest Park, GA 30297 Phone: 404-366-3636

Anya Wiedenbeck, MSN, APRN, FNP-C - Medicare Nurse Practitioner in Forest Park, GA