Mr Mesiah O'mar Porter Jr, in Duluth, GA - Medicare Nurse Practitioner

Mr Mesiah O'mar Porter Jr, is a medicare enrolled "Nurse Practitioner - Family" in Duluth, Georgia. His current practice location is 1611 Satellite Blvd Ste 3, Duluth, Georgia. You can reach out to his office (for appointments etc.) via phone at (770) 614-6266.

Mr Mesiah O'mar Porter Jr is licensed to practice in Georgia (license number 83-1469962) 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 1134783368.

Contact Information

	Mr Mesiah O'mar Porter Jr,
	1611 Satellite Blvd Ste 3, Duluth, GA 30097-4913
	(770) 614-6266
	(770) 623-9949

Map and Direction

Provider's Profile

Full Name	Mr Mesiah O'mar Porter Jr
Gender	Male
Speciality	Nurse Practitioner - Family
Location	1611 Satellite Blvd Ste 3, Duluth, Georgia
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1134783368
Provider Enumeration Date: 04/23/2019
Last Update Date: 04/23/2019

Medicare PECOS Information:

PECOS PAC ID: 9234536376
Enrollment ID: I20210916001487

Medical Identifiers

Medical identifiers for Mr Mesiah O'mar Porter Jr such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1134783368	NPI	-	NPPES
RN242562	Other	GA	GEORGIA PROFESSIONAL LICENSING
2018003411	Other	GA	AMERICAN NURSES CREDENTIALING CENTER

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	83-1469962 (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. Mr Mesiah O'mar Porter Jr allows following entities to bill medicare on his behalf.

Entity Name	River Region Psychiatry Associates, Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1386891497 PECOS PAC ID: 1254491012 Enrollment ID: O20201109001072

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. Mr Mesiah O'mar Porter Jr 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
Mr Mesiah O'mar Porter Jr, 3085 Bentwood Dr, Waycross, GA 31503-4117 Ph: (912) 288-1024	Mr Mesiah O'mar Porter Jr, 1611 Satellite Blvd Ste 3, Duluth, GA 30097-4913 Ph: (770) 614-6266

Reviews and Comments

Nurse Practitioner Nurses in Duluth, GA

Christopher Pride, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3350 Breckinridge Blvd Ste 200, Duluth, GA 30096 Phone: 720-472-8052
Mrs. Tujuana C Glenn Olajide, R.N., N.P. Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 5404 Tree Summit Pkwy, Duluth, GA 30096 Phone: 678-477-3397 Fax: 678-417-9151
Ms. Isla Starr Marrero, NURSE PRACTITIONER Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3075 Breckinridge Blvd, Suite 415, Duluth, GA 30096 Phone: 770-962-8396
Dailan Zhang, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 3960 Howell Park Rd, Duluth, GA 30096 Phone: 404-324-0131
Lovelin Fonkika, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 6650 Sugarloaf Pkwy Ste 800, Duluth, GA 30097 Phone: 404-921-3334
Linda Lee Peabody, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3660 Howell Ferry Rd, Duluth, GA 30096 Phone: 770-670-4640
Elisabeth Olsen Peterson, PNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2660 Satellite Blvd, Duluth, GA 30096 Phone: 404-785-8330

Mr Mesiah O'mar Porter Jr, - Medicare Nurse Practitioner in Duluth, GA