Lauren Kennerly, in Marietta, GA - Medicare Nurse Practitioner

Lauren Kennerly, is a medicare enrolled "Nurse Practitioner - Adult Health" in Marietta, Georgia. Her current practice location is 625 S Marietta Pkwy Se, Marietta, Georgia. You can reach out to her office (for appointments etc.) via phone at (470) 377-7228.

Lauren Kennerly is licensed to practice in Georgia (license number GAA-NP001496) 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 1699376996.

Contact Information

	Lauren Kennerly,
	625 S Marietta Pkwy Se, Marietta, GA 30060-2748
	(470) 377-7228
	(470) 467-7583

Map and Direction

Provider's Profile

Full Name	Lauren Kennerly
Gender	Female
Speciality	Nurse Practitioner - Adult Health
Location	625 S Marietta Pkwy 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: 1699376996
Provider Enumeration Date: 11/03/2020
Last Update Date: 10/02/2023

Medicare PECOS Information:

PECOS PAC ID: 3375998685
Enrollment ID: I20231005003483

Medical Identifiers

Medical identifiers for Lauren Kennerly such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1699376996	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
163W00000X	Registered Nurse	041425398 (Illinois)	Secondary
363LP2300X	Nurse Practitioner - Primary Care	95017524 (California)	Secondary
363LA2200X	Nurse Practitioner - Adult Health	GAA-NP001496 (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. Lauren Kennerly allows following entities to bill medicare on her behalf.

Entity Name	Oak Street Health Of Georgia Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1588258024 PECOS PAC ID: 0345658647 Enrollment ID: O20210427001330

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. Lauren Kennerly 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
Lauren Kennerly, Po Box 740015, Atlanta, GA 30374-0015 Ph: (312) 733-9730	Lauren Kennerly, 625 S Marietta Pkwy Se, Marietta, GA 30060-2748 Ph: (470) 377-7228

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
Tanisha Leonard, AGACNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 55 Whitcher St Ne Ste 350, Marietta, GA 30060 Phone: 770-424-6893 Fax: 770-528-9938
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

Lauren Kennerly, - Medicare Nurse Practitioner in Marietta, GA