Aridia I Ennever, in Douglasville, GA - Medicare Nurse Practitioner

Aridia I Ennever, is a medicare enrolled "Nurse Practitioner - Primary Care" in Douglasville, Georgia. Her current practice location is 6853 Douglas Blvd Ste B, Douglasville, Georgia. You can reach out to her office (for appointments etc.) via phone at (770) 288-0926.

Aridia I Ennever is licensed to practice in Georgia (license number 185248) 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 1225818388.

Contact Information

	Aridia I Ennever,
	6853 Douglas Blvd Ste B, Douglasville, GA 30135-7178
	(770) 288-0926
	Not Available

Map and Direction

Provider's Profile

Full Name	Aridia I Ennever
Gender	Female
Speciality	Nurse Practitioner - Primary Care
Location	6853 Douglas Blvd Ste B, Douglasville, Georgia
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1225818388
Provider Enumeration Date: 10/04/2023
Last Update Date: 10/04/2023

Medicare PECOS Information:

PECOS PAC ID: 8820436264
Enrollment ID: I20240404002800

Medical Identifiers

Medical identifiers for Aridia I Ennever such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1225818388	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LP2300X	Nurse Practitioner - Primary Care	185248 (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. Aridia I Ennever allows following entities to bill medicare on her behalf.

Entity Name	Signify Health Medical Associates Pllc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1750845863 PECOS PAC ID: 2163764424 Enrollment ID: O20200115001292

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. Aridia I Ennever 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
Aridia I Ennever, 3471 Hollow Stream Trl, Powder Springs, GA 30127-5318 Ph: (516) 852-5290	Aridia I Ennever, 6853 Douglas Blvd Ste B, Douglasville, GA 30135-7178 Ph: (770) 288-0926

Reviews and Comments

Nurse Practitioner Nurses in Douglasville, GA

Amparo Pyronneau, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 8954 Hospital Dr, Building B, Suite 115, Douglasville, GA 30134 Phone: 770-874-5400
Ms. Tommie Joann Floyd, A.P.N. Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 6025 Professional Pkwy Ste 200, Douglasville, GA 30134 Phone: 770-949-0555
Irene Obiageri Ibenyenwa, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 6031 Fairburn Rd, Douglasville, GA 30134 Phone: 770-942-9214
Nina Sheria Lagarde, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 8954 Hospital Dr, Douglasville, GA 30134 Phone: 678-838-2584
Amanda Ray, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 9280 Highway 5, Douglasville, GA 30134 Phone: 770-949-2250
Hina Rajesh Nana, APRN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 6025 Professional Pkwy, Suite 200, Douglasville, GA 30134 Phone: 770-949-0555 Fax: 770-949-4424
Kelly Quiana Talbert Thaggard, FNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 3872 Highway 5, Douglasville, GA 30135 Phone: 770-949-5535 Fax: 770-949-9022

Aridia I Ennever, - Medicare Nurse Practitioner in Douglasville, GA