Emmanuel D Dafivbiroro, APRN in Stone Mountain, GA

Emmanuel D Dafivbiroro, APRN is a medicare enrolled "Nurse Practitioner - Primary Care" in Stone Mountain, Georgia. His current practice location is 6297 Robins Trce, Stone Mountain, Georgia. You can reach out to his office (for appointments etc.) via phone at (770) 413-1424.

Emmanuel D Dafivbiroro is licensed to practice in Georgia (license number RN154440) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1215633912.

Contact Information

	Emmanuel D Dafivbiroro, APRN
	6297 Robins Trce, Stone Mountain, GA 30087-6537
	(770) 413-1424
	Not Available

Map and Direction

Provider's Profile

Full Name	Emmanuel D Dafivbiroro
Gender	Male
Speciality	Nurse Practitioner - Primary Care
Location	6297 Robins Trce, Stone Mountain, Georgia
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1215633912
Provider Enumeration Date: 02/03/2023
Last Update Date: 02/03/2023

Medicare PECOS Information:

PECOS PAC ID: 8123485372
Enrollment ID: I20230605000822

Medical Identifiers

Medical identifiers for Emmanuel D Dafivbiroro such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1215633912	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LP2300X	Nurse Practitioner - Primary Care	RN154440 (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. Emmanuel D Dafivbiroro allows following entities to bill medicare on his behalf.

Entity Name	Atlanta Plus Urgent Care
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1588163638 PECOS PAC ID: 9133453368 Enrollment ID: O20190621002246

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. Emmanuel D Dafivbiroro 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
Emmanuel D Dafivbiroro, APRN 6297 Robins Trce, Stone Mountain, GA 30087-6537 Ph: (770) 413-1424	Emmanuel D Dafivbiroro, APRN 6297 Robins Trce, Stone Mountain, GA 30087-6537 Ph: (770) 413-1424

Reviews and Comments

Nurse Practitioner Nurses in Stone Mountain, GA

Mrs. Sherly John, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 4958 Memorial Dr, Stone Mountain, GA 30083 Phone: 404-809-2408
Wendy Woodward Schaal, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 5320 Memorial Dr, Stone Mountain, GA 30083 Phone: 404-508-6499
Roneshia Michelle Rudolph-meadows, FNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 5674 Memorial Dr, Stone Mountain, GA 30083 Phone: 770-322-6161 Fax: 770-322-6191
Julie Noelle Knisely, FNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 5582 Memorial Dr, Stone Mountain, GA 30083 Phone: 404-298-8998
Pauline Kpannah, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 4952 Green Bark Cir E, Stone Mountain, GA 30083 Phone: 678-396-0843
Nikeisha Clevia Oliver, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1227 Rockbridge Rd, Stone Mountain, GA 30087 Phone: 770-413-1476
Andrea Zmaj, MSN, FNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 5674 Memorial Dr, Stone Mountain, GA 30083 Phone: 770-322-6161

Emmanuel D Dafivbiroro, APRN - Medicare Nurse Practitioner in Stone Mountain, GA