Mrs Takatso Moyo, in Lawrenceville, GA - Medicare Nurse Practitioner

Mrs Takatso Moyo, is a medicare enrolled "Nurse Practitioner - Family" in Lawrenceville, Georgia. Her current practice location is 475 Philip Blvd Ste 100, Lawrenceville, Georgia. You can reach out to her office (for appointments etc.) via phone at (770) 995-3300.

Mrs Takatso Moyo is licensed to practice in Georgia (license number F05170157) 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 1952809774.

Contact Information

	Mrs Takatso Moyo,
	475 Philip Blvd Ste 100, Lawrenceville, GA 30046-8736
	(770) 995-3300
	(770) 995-0794

Map and Direction

Provider's Profile

Full Name	Mrs Takatso Moyo
Gender	Female
Speciality	Nurse Practitioner - Family
Location	475 Philip Blvd Ste 100, 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: 1952809774
Provider Enumeration Date: 01/26/2018
Last Update Date: 01/26/2018

Medicare PECOS Information:

PECOS PAC ID: 2769739507
Enrollment ID: I20180724004142

Medical Identifiers

Medical identifiers for Mrs Takatso Moyo such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1952809774	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	F05170157 (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. Mrs Takatso Moyo allows following entities to bill medicare on her behalf.

Entity Name	Medical Director Services Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1871955807 PECOS PAC ID: 0042501116 Enrollment ID: O20190301002321

Entity Name	Infinite Medical Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1407483175 PECOS PAC ID: 8325477656 Enrollment ID: O20201119003156

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 Takatso Moyo 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 Takatso Moyo, 475 Philip Blvd Ste 100, Lawrenceville, GA 30046-8736 Ph: (770) 995-3300	Mrs Takatso Moyo, 475 Philip Blvd Ste 100, Lawrenceville, GA 30046-8736 Ph: (770) 995-3300

Reviews and Comments

Nurse Practitioner Nurses in Lawrenceville, GA

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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

Mrs Takatso Moyo, - Medicare Nurse Practitioner in Lawrenceville, GA