Ms Elizabeth Persephone Andersen, FNP-BC is a medicare enrolled "Nurse Practitioner - Family" in Lake Spivey, Georgia. She went to Emory University School Of Medicine and graduated 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 A, Llc and her current practice location is
7813 Spivey Station Blvd Ste 210, Lake Spivey, Georgia. You can reach out to her office (for appointments etc.) via phone at
(770) 507-0070.
Ms Elizabeth Persephone Andersen is licensed to practice in Georgia (license number 2018080794) 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 1457818015.
Provider's Profile
| Full Name | Ms Elizabeth Persephone Andersen |
|---|
| Gender | Female |
|---|
| Speciality | Nurse Practitioner |
|---|
| Experience | 6 Years |
|---|
| Location | 7813 Spivey Station Blvd Ste 210, Lake Spivey, 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:
- Ms Elizabeth Persephone Andersen attended and graduated from Emory University School Of Medicine in 2018
NPI Data:
- NPI Number: 1457818015
- Provider Enumeration Date: 03/01/2019
- Last Update Date: 09/18/2020
Medicare PECOS Information:
- PECOS PAC ID: 5799013751
- Enrollment ID: I20190829000040
Medical Identifiers
Medical identifiers for Ms Elizabeth Persephone Andersen such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1457818015 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 163W00000X | Registered Nurse | RN228808 (Georgia) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | 2018080794 (Georgia) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Nsh Cancer Institute Professional Services A, Llc | 1557514247 | 35 |
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. Ms Elizabeth Persephone Andersen allows following entities to bill medicare on her behalf.
| Entity Name | Nsh Cancer Institute Professional Services A, Llc |
|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
|---|
| Entity Identifiers | NPI Number: 1215288378
PECOS PAC ID: 1557514247
Enrollment ID: O20130107000162 |
|---|
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. Ms Elizabeth Persephone Andersen 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 |
|---|
Ms Elizabeth Persephone Andersen, FNP-BC
1100 Johnson Ferry Rd, Ste 510,
Sandy Springs, GA 30342-1743
Ph: (404) 419-1165 | Ms Elizabeth Persephone Andersen, FNP-BC
7813 Spivey Station Blvd Ste 210,
Lake Spivey, GA 30236-2900
Ph: (770) 507-0070 |
Reviews and Comments