Mariam Dosunmu, PMHNP-BC in Lawrenceville, GA

Mariam Dosunmu, PMHNP-BC is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" in Lawrenceville, Georgia. Her current practice location is 1000 Medical Center Blvd, Lawrenceville, Georgia. You can reach out to her office (for appointments etc.) via phone at (678) 312-1000.

Mariam Dosunmu is licensed to practice in Georgia (license number RN235911) 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 1912460429.

Contact Information

	Mariam Dosunmu, PMHNP-BC
	1000 Medical Center Blvd, Lawrenceville, GA 30046-7694
	(678) 312-1000
	Not Available

Map and Direction

Provider's Profile

Full Name	Mariam Dosunmu
Gender	Female
Speciality	Nurse Practitioner - Psychiatric/mental Health
Location	1000 Medical Center Blvd, Lawrenceville, Georgia
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1912460429
Provider Enumeration Date: 04/11/2019
Last Update Date: 01/15/2021

Medicare PECOS Information:

PECOS PAC ID: 6901132083
Enrollment ID: I20210122002280

Medical Identifiers

Medical identifiers for Mariam Dosunmu such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1912460429	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LP0808X	Nurse Practitioner - Psychiatric/mental Health	0024177469 (Virginia)	Secondary
363LP0808X	Nurse Practitioner - Psychiatric/mental Health	RN235911 (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. Mariam Dosunmu allows following entities to bill medicare on her behalf.

Entity Name	Gwinnett Physician Group, Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1578574661 PECOS PAC ID: 9133211139 Enrollment ID: O20070822001035

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. Mariam Dosunmu 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
Mariam Dosunmu, PMHNP-BC 1000 Medical Center Blvd, Lawrenceville, GA 30046-7694 Ph: (678) 312-1000	Mariam Dosunmu, PMHNP-BC 1000 Medical Center Blvd, Lawrenceville, GA 30046-7694 Ph: (678) 312-1000

Reviews and Comments

Nurse Practitioner Nurses in Lawrenceville, GA

Mrs. Katherine Elaine Campbell Thomas, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1000 Medical Center Blvd, Lawrenceville, GA 30046 Phone: --
Christa Joiner, APRN, WHNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 600 Professional Dr # 200, Lawrenceville, GA 30046 Phone: 770-513-4000
Solomon Gezahgn Abebe, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1000 Medical Center Blvd, Lawrenceville, GA 30046 Phone: 229-299-7476
Mrs. Susan P Whatley, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 170 Camden Hill Rd, Suite F, Lawrenceville, GA 30046 Phone: 770-339-4225
Mrs. Crichton Anne Hollingsworth, NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1925 Old Peachtree Rd Ne, Lawrenceville, GA 30043 Phone: 770-339-5999
Ashley Lydia Mullican, APRN, NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1925 Old Peachtree Rd Ne, Lawrenceville, GA 30043 Phone: 770-339-5999
Katherine A Nguyen, FNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1155 Lawrenceville Suwanee Rd, Lawrenceville, GA 30043 Phone: 678-442-0205

Mariam Dosunmu, PMHNP-BC - Medicare Nurse Practitioner in Lawrenceville, GA