Irene Obiageri Ibenyenwa, FNP-C - Medicare Nurse Practitioner in Douglasville, GA

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Irene Obiageri Ibenyenwa, FNP-C is a medicare enrolled "Nurse Practitioner - Family" in Douglasville, Georgia. Her current practice location is 6031 Fairburn Rd, Douglasville, Georgia. You can reach out to her office (for appointments etc.) via phone at (770) 942-9214.

Irene Obiageri Ibenyenwa is licensed to practice in Georgia (license number 184698) 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 1023661816.

Contact Information

Irene Obiageri Ibenyenwa, FNP-C
6031 Fairburn Rd,
Douglasville, GA 30134-2307
(770) 942-9214
Not Available

Map and Direction




Provider's Profile

Full NameIrene Obiageri Ibenyenwa
GenderFemale
SpecialityNurse Practitioner - Family
Location6031 Fairburn Rd, Douglasville, Georgia
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1023661816
  • Provider Enumeration Date: 07/20/2019
  • Last Update Date: 04/09/2024
  Medicare PECOS Information:
  • PECOS PAC ID: 3678804994
  • Enrollment ID: I20191016003827

Medical Identifiers

Medical identifiers for Irene Obiageri Ibenyenwa such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1023661816NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LF0000XNurse Practitioner - Family 184698 (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. Irene Obiageri Ibenyenwa allows following entities to bill medicare on her behalf.
Entity NameTlc Of Georgia Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1750677241
PECOS PAC ID: 5496924490
Enrollment ID: O20110809000175
Entity NameSf Georgia Medical Services Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1841857794
PECOS PAC ID: 6709110943
Enrollment ID: O20190622000066
Entity NameTrue North Health Navigation Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1578047536
PECOS PAC ID: 5294960696
Enrollment ID: O20191011002051

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. Irene Obiageri Ibenyenwa 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
Irene Obiageri Ibenyenwa, FNP-C
195 Park Chase Ln,
Dallas, GA 30132-3137

Ph: (404) 405-2424		Irene Obiageri Ibenyenwa, FNP-C
6031 Fairburn Rd,
Douglasville, GA 30134-2307

Ph: (770) 942-9214

Reviews and Comments


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Phone: 770-949-5535    Fax: 770-949-9022

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.