Dorene Ebangha Etarock, FNP-C - Medicare Nurse Practitioner in Ball Ground, GA

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Dorene Ebangha Etarock, FNP-C is a medicare enrolled "Nurse Practitioner - Family" in Ball Ground, Georgia. Her current practice location is 8111 Ball Ground Hwy, Ball Ground, Georgia. You can reach out to her office (for appointments etc.) via phone at (770) 268-4011.

Dorene Ebangha Etarock is licensed to practice in Georgia (license number RN296118) 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 1518450352.

Contact Information

Dorene Ebangha Etarock, FNP-C
8111 Ball Ground Hwy,
Ball Ground, GA 30107
(770) 268-4011
Not Available

Map and Direction




Provider's Profile

Full NameDorene Ebangha Etarock
GenderFemale
SpecialityNurse Practitioner - Family
Location8111 Ball Ground Hwy, Ball Ground, Georgia
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1518450352
  • Provider Enumeration Date: 06/06/2018
  • Last Update Date: 08/13/2024
  Medicare PECOS Information:
  • PECOS PAC ID: 1759760051
  • Enrollment ID: I20220616001294

Medical Identifiers

Medical identifiers for Dorene Ebangha Etarock such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1518450352NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LF0000XNurse Practitioner - Family RN296118 (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. Dorene Ebangha Etarock allows following entities to bill medicare on her behalf.
Entity NameApplebaum Physiatry Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1700598059
PECOS PAC ID: 8729453436
Enrollment ID: O20231012002459

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. Dorene Ebangha Etarock 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 AddressPractice Location Address
Dorene Ebangha Etarock, FNP-C
3333 Riverwood Pkwy Se Ste 250,
Atlanta, GA 30339-3304

Ph: (770) 914-0116		Dorene Ebangha Etarock, FNP-C
8111 Ball Ground Hwy,
Ball Ground, GA 30107

Ph: (770) 268-4011

Reviews and Comments


Nurse Practitioner Nurses in Ball Ground, GA

Sonya Mabry, FNP-C
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 8111 Ball Ground Hwy, Ball Ground, GA 30107
Phone: 770-268-4011    
Jodi Mcconnell,
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 115 Lathems Mill Ln, Ball Ground, GA 30107
Phone: 678-595-7227    
Mrs. Janice Denise Reed, CNP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 470 Valley St Ste 200, Ball Ground, GA 30107
Phone: 770-737-2770    Fax: 770-737-2406

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.