Eunice Theodor, FNP in Douglasville, GA - Medicare Nurse Practitioner

Eunice Theodor, FNP is a medicare enrolled "Nurse Practitioner - Family" in Douglasville, Georgia. She graduated from nursing school in 2014 and has 10 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Piedmont Medical Care Corporation and her current practice location is 8820 Hospital Dr, Douglasville, Georgia. You can reach out to her office (for appointments etc.) via phone at (770) 947-3000.

Eunice Theodor is licensed to practice in Georgia (license number RN244960) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1720471147.

Contact Information

	Eunice Theodor, FNP
	8820 Hospital Dr, Douglasville, GA 30134-2266
	(770) 947-3000
	(770) 947-3012

Map and Direction

Provider's Profile

Full Name	Eunice Theodor
Gender	Female
Speciality	Nurse Practitioner
Experience	10 Years
Location	8820 Hospital Dr, Douglasville, Georgia
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Eunice Theodor graduated from nursing school in 2014

NPI Data:

NPI Number: 1720471147
Provider Enumeration Date: 03/10/2015
Last Update Date: 09/26/2024

Medicare PECOS Information:

PECOS PAC ID: 5991011579
Enrollment ID: I20220420000024

Medical Identifiers

Medical identifiers for Eunice Theodor such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1720471147	NPI	-	NPPES
1720471147	Medicaid	VA

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LP2300X	Nurse Practitioner - Primary Care	0024172755 (Virginia)	Secondary
363LF0000X	Nurse Practitioner - Family	RN244960 (Georgia)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Piedmont Hospital	Atlanta, GA	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Piedmont Medical Care Corporation	6002802220	284

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. Eunice Theodor allows following entities to bill medicare on her behalf.

Entity Name	Piedmont Medical Care Corporation
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1912956046 PECOS PAC ID: 6002802220 Enrollment ID: O20040422001500

Entity Name	Wellstar Medical Group, Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1558664003 PECOS PAC ID: 6709065402 Enrollment ID: O20110127000374

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. Eunice Theodor 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
Eunice Theodor, FNP 8820 Hospital Dr, Douglasville, GA 30134-2266 Ph: (770) 947-3000	Eunice Theodor, FNP 8820 Hospital Dr, Douglasville, GA 30134-2266 Ph: (770) 947-3000

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

Eunice Theodor, FNP - Medicare Nurse Practitioner in Douglasville, GA