Geremy Lance Wooten, MSN, APRN, PMHNP-BC in Marietta, GA

Geremy Lance Wooten, MSN, APRN, PMHNP-BC is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" in Marietta, Georgia. His current practice location is 2540 Windy Hill Rd Se, Marietta, Georgia. You can reach out to his office (for appointments etc.) via phone at (770) 644-1570.

Geremy Lance Wooten is licensed to practice in Georgia (license number RN205927) 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 1558124628.

Contact Information

	Geremy Lance Wooten, MSN, APRN, PMHNP-BC
	2540 Windy Hill Rd Se, Marietta, GA 30067-8605
	(770) 644-1570
	(770) 644-1576

Map and Direction

Provider's Profile

Full Name	Geremy Lance Wooten
Gender	Male
Speciality	Nurse Practitioner - Psychiatric/mental Health
Location	2540 Windy Hill Rd Se, 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: 1558124628
Provider Enumeration Date: 02/01/2024
Last Update Date: 03/20/2024

Medicare PECOS Information:

PECOS PAC ID: 4789022922
Enrollment ID: I20240405002801

Medical Identifiers

Medical identifiers for Geremy Lance Wooten such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1558124628	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LP0808X	Nurse Practitioner - Psychiatric/mental Health	RN205927 (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. Geremy Lance Wooten allows following entities to bill medicare on his 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. Geremy Lance Wooten 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
Geremy Lance Wooten, MSN, APRN, PMHNP-BC 128 Vivian Ln, Peachtree City, GA 30269-2305 Ph: (646) 467-1015	Geremy Lance Wooten, MSN, APRN, PMHNP-BC 2540 Windy Hill Rd Se, Marietta, GA 30067-8605 Ph: (770) 644-1570

Reviews and Comments

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Geremy Lance Wooten, MSN, APRN, PMHNP-BC - Medicare Nurse Practitioner in Marietta, GA