Grace Tamu Fomunung, NURSE PRACTITIONER in Dacula, GA

Grace Tamu Fomunung, NURSE PRACTITIONER is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" in Dacula, Georgia. Her current practice location is 3206 Thimbleberry Trl, Dacula, Georgia. You can reach out to her office (for appointments etc.) via phone at (404) 819-7338.

Grace Tamu Fomunung is licensed to practice in Georgia (license number RN201867) 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 1679028575.

Contact Information

	Grace Tamu Fomunung, NURSE PRACTITIONER
	3206 Thimbleberry Trl, Dacula, GA 30019-7299
	(404) 819-7338
	Not Available

Map and Direction

Provider's Profile

Full Name	Grace Tamu Fomunung
Gender	Female
Speciality	Nurse Practitioner - Psychiatric/mental Health
Location	3206 Thimbleberry Trl, Dacula, Georgia
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1679028575
Provider Enumeration Date: 08/20/2016
Last Update Date: 11/07/2019

Medicare PECOS Information:

PECOS PAC ID: 1759765886
Enrollment ID: I20220908001862

Medical Identifiers

Medical identifiers for Grace Tamu Fomunung such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1679028575	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
163W00000X	Registered Nurse	RN201867 (Georgia)	Secondary
363LP0808X	Nurse Practitioner - Psychiatric/mental Health	RN201867 (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. Grace Tamu Fomunung allows following entities to bill medicare on her behalf.

Entity Name	Jehovahs Behavioral Care Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1619612876 PECOS PAC ID: 0840674974 Enrollment ID: O20220908001795

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. Grace Tamu Fomunung 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
Grace Tamu Fomunung, NURSE PRACTITIONER 3206 Thimbleberry Trl, Dacula, GA 30019-7299 Ph: (404) 819-7338	Grace Tamu Fomunung, NURSE PRACTITIONER 3206 Thimbleberry Trl, Dacula, GA 30019-7299 Ph: (404) 819-7338

Reviews and Comments

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Josephine Fatmata Belmoh, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 505 Dacula Rd, Dacula, GA 30019 Phone: 615-425-4200
Allisan Faye Meadows, FPN-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 465 Dacula Rd Ste I, Dacula, GA 30019 Phone: 770-822-1922
Francis Ikechukwu Njoku, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2842 Blue Stone Ct, Dacula, GA 30019 Phone: 678-760-8952

Grace Tamu Fomunung, NURSE PRACTITIONER - Medicare Nurse Practitioner in Dacula, GA