Faith Ifeanyi Enwefah, NURSE PRACTITIONER in Marietta, GA

Faith Ifeanyi Enwefah, NURSE PRACTITIONER is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" in Marietta, Georgia. Her current practice location is 677 Church St Ne, Marietta, Georgia. You can reach out to her office (for appointments etc.) via phone at (770) 793-5000.

Faith Ifeanyi Enwefah is licensed to practice in Georgia (license number RN225483) 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 1972204766.

Contact Information

	Faith Ifeanyi Enwefah, NURSE PRACTITIONER
	677 Church St Ne, Marietta, GA 30060-1101
	(770) 793-5000
	Not Available

Map and Direction

Provider's Profile

Full Name	Faith Ifeanyi Enwefah
Gender	Female
Speciality	Nurse Practitioner - Psychiatric/mental Health
Location	677 Church St Ne, Marietta, Georgia
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1972204766
Provider Enumeration Date: 03/17/2023
Last Update Date: 03/17/2023

Medicare PECOS Information:

PECOS PAC ID: 7214396530
Enrollment ID: I20230705002628

Medical Identifiers

Medical identifiers for Faith Ifeanyi Enwefah such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1972204766	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LP0808X	Nurse Practitioner - Psychiatric/mental Health	RN225483 (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. Faith Ifeanyi Enwefah allows following entities to bill medicare on her behalf.

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. Faith Ifeanyi Enwefah 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
Faith Ifeanyi Enwefah, NURSE PRACTITIONER 72 Valley View Trl, Dallas, GA 30132-5465 Ph: (678) 704-5219	Faith Ifeanyi Enwefah, NURSE PRACTITIONER 677 Church St Ne, Marietta, GA 30060-1101 Ph: (770) 793-5000

Reviews and Comments

Nurse Practitioner Nurses in Marietta, GA

Mrs. Jennifer Irene Sarno, ACNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 780 Canton Rd Ne, Suite 400, Marietta, GA 30060 Phone: 770-422-3602
Stacey Glass Malstrom, NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 55 Whitcher St Ne Ste 350, Marietta, GA 30060 Phone: 770-424-6893
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Julie J Baute, APRN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 780 Canton Rd Ne Ste 205, Marietta, GA 30060 Phone: 678-224-6198
Dr. Ibisa Comfort Onyirimba, DNP, FNP-C, APRN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2481 Hurt Rd Sw, Marietta, GA 30008 Phone: 404-934-2420
Mrs. Susan Wanjiku Kamau, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1579 Sage Ridge Dr, Marietta, GA 30064 Phone: 404-643-0444
Ms. Trina Renee Cain, CNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 811 Kennesaw Ave Nw, Marietta, GA 30060 Phone: 678-458-5311

Faith Ifeanyi Enwefah, NURSE PRACTITIONER - Medicare Nurse Practitioner in Marietta, GA