Enrique Valencia, NP - Medicare Nurse Practitioner in Macon, GA

Enrique Valencia, NP is a medicare enrolled "Nurse Practitioner - Acute Care" in Macon, Georgia. His current practice location is 840 Pine St Ste 500, Macon, Georgia. You can reach out to his office (for appointments etc.) via phone at (478) 633-8682.

Enrique Valencia is licensed to practice in Georgia (license number RN284102) 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 1851161152.

Contact Information

Enrique Valencia, NP
840 Pine St Ste 500,
Macon, GA 31201-7530
(478) 633-8682
(478) 633-8698

Map and Direction




Provider's Profile

Full NameEnrique Valencia
GenderMale
SpecialityNurse Practitioner - Acute Care
Location840 Pine St Ste 500, Macon, Georgia
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1851161152
  • Provider Enumeration Date: 01/08/2024
  • Last Update Date: 01/22/2024
  Medicare PECOS Information:
  • PECOS PAC ID: 2466805668
  • Enrollment ID: I20240124001259

Medical Identifiers

Medical identifiers for Enrique Valencia such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1851161152NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LA2100XNurse Practitioner - Acute Care RN284102 (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. Enrique Valencia allows following entities to bill medicare on his behalf.
Entity NameHealth Services Of Central Georgia
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1184679482
PECOS PAC ID: 9638076730
Enrollment ID: O20031217000270

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. Enrique Valencia 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
Enrique Valencia, NP
840 Pine St Ste 500,
Macon, GA 31201-7530

Ph: (478) 633-8682
Enrique Valencia, NP
840 Pine St Ste 500,
Macon, GA 31201-7530

Ph: (478) 633-8682

Reviews and Comments


Nurse Practitioner Nurses in Macon, GA

Michelle Renee Brown, N.P.
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Phone: 478-301-5930    Fax: 478-301-5932
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Practice Location: 4061 Vineville Ave, Macon, GA 31210
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Medicare: Not Enrolled in Medicare
Practice Location: 777 Hemlock St, Macon, GA 31201
Phone: 478-633-6706    Fax: 478-633-5384
Jennifer Johnson Slade, CPNP-PC
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Medicare: Not Enrolled in Medicare
Practice Location: 3888 Northside Dr, Macon, GA 31210
Phone: 478-477-4044    Fax: 478-477-7076
Mrs. Lynn Davis Waits, MSN, FNP
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Medicare: Not Enrolled in Medicare
Practice Location: 100 College Station Dr, Macon, GA 31206
Phone: 478-471-2092    
Ms. Mirela Danaj, APRN
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Medicare: Medicare Enrolled
Practice Location: 777 Hemlock Street Msc #104, Macon, GA 31201
Phone: 478-633-7550    

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.