Mrs Mavis O Peprah, AGNP-C in Decatur, GA - Medicare Nurse Practitioner

Mrs Mavis O Peprah, AGNP-C is a medicare enrolled "Nurse Practitioner" in Decatur, Georgia. She graduated from nursing school in 2018 and has 6 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Nsh Cancer Institute Professional Services G Llc, The Emory Clinic, Inc and her current practice location is 2712 Lawrenceville Hwy, Decatur, Georgia. You can reach out to her office (for appointments etc.) via phone at (770) 496-5555.

Mrs Mavis O Peprah is licensed to practice in Georgia (license number RN223668) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1780151597.

Contact Information

	Mrs Mavis O Peprah, AGNP-C
	2712 Lawrenceville Hwy, Decatur, GA 30033-2512
	(770) 496-5555
	(770) 939-2887

Map and Direction

Provider's Profile

Full Name	Mrs Mavis O Peprah
Gender	Female
Speciality	Nurse Practitioner
Experience	6 Years
Location	2712 Lawrenceville Hwy, Decatur, Georgia
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Mrs Mavis O Peprah graduated from nursing school in 2018

NPI Data:

NPI Number: 1780151597
Provider Enumeration Date: 10/30/2018
Last Update Date: 06/08/2023

Medicare PECOS Information:

PECOS PAC ID: 8527304674
Enrollment ID: I20190109003056

Medical Identifiers

Medical identifiers for Mrs Mavis O Peprah such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1780151597	NPI	-	NPPES
003213488A	Medicaid	GA
G08685A	Other	GA	MEDICARE PTAN

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LA2200X	Nurse Practitioner - Adult Health	RN223668 (Georgia)	Secondary
363L00000X	Nurse Practitioner	RN223668 (Georgia)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Emory University Hospital Midtown	Atlanta, GA	Hospital
Saint Joseph's Hospital Of Atlanta, Inc	Atlanta, GA	Hospital
Emory Decatur Hospital	Decatur, GA	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Nsh Cancer Institute Professional Services G Llc	0840443164	106
The Emory Clinic, Inc	8820901408	2729

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. Mrs Mavis O Peprah allows following entities to bill medicare on her behalf.

Entity Name	The Emory Clinic Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1396798229 PECOS PAC ID: 8820901408 Enrollment ID: O20031110000503

Entity Name	Nsh Cancer Institute Professional Services G Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1144571381 PECOS PAC ID: 0840443164 Enrollment ID: O20130128000225

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. Mrs Mavis O Peprah 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
Mrs Mavis O Peprah, AGNP-C 1835 Savoy Dr Ste 300, Atlanta, GA 30341-1071 Ph: (770) 496-5555	Mrs Mavis O Peprah, AGNP-C 2712 Lawrenceville Hwy, Decatur, GA 30033-2512 Ph: (770) 496-5555

Reviews and Comments

Nurse Practitioner Nurses in Decatur, GA

Antoinette Denise Gamble, N.P. Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1670 Clairmont Rd., Decatur, GA 30033 Phone: 404-321-6111
Sophia P Georges, AGNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1039 Highland Lake Cir, Decatur, GA 30033 Phone: 513-348-2926
Tammy Vardeman Aguilar, RN, NNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 101 W Ponce De Leon Ave, Suite #242, Decatur, GA 30030 Phone: 404-778-7622 Fax: 404-778-7645
Abdul Niazi, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 445 Winn Way, Decatur, GA 30030 Phone: 404-294-3745 Fax: 404-294-3710
Vivian S. Hayes, NP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1670 Clairmont Rd # 170c, Decatur, GA 30033 Phone: 404-321-6111 Fax: 404-235-3038
Jessica Willis, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2722 N Decatur Rd, Decatur, GA 30033 Phone: 678-467-7598
Ernest Leonard Gibson, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2561 Captains Row, Decatur, GA 30035 Phone: 404-839-2886

Mrs Mavis O Peprah, AGNP-C - Medicare Nurse Practitioner in Decatur, GA