Patricia Proveaux, FNP-BC in Atlanta, GA - Medicare Nurse Practitioner

Patricia Proveaux, FNP-BC is a medicare enrolled "Nurse Practitioner - Family" in Atlanta, Georgia. Her current practice location is 5461 Meridian Mark Rd Ste 130, Atlanta, Georgia. You can reach out to her office (for appointments etc.) via phone at (404) 255-2033.

Patricia Proveaux is licensed to practice in Georgia (license number RN254746) 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 1053062760.

Contact Information

	Patricia Proveaux, FNP-BC
	5461 Meridian Mark Rd Ste 130, Atlanta, GA 30342-3009
	(404) 255-2033
	(404) 252-1901

Map and Direction

Provider's Profile

Full Name	Patricia Proveaux
Gender	Female
Speciality	Nurse Practitioner - Family
Location	5461 Meridian Mark Rd Ste 130, Atlanta, Georgia
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1053062760
Provider Enumeration Date: 01/13/2022
Last Update Date: 01/13/2022

Medicare PECOS Information:

PECOS PAC ID: 3870934185
Enrollment ID: I20240516002539

Medical Identifiers

Medical identifiers for Patricia Proveaux such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1053062760	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
163W00000X	Registered Nurse	RN254746 (Georgia)	Secondary
363LF0000X	Nurse Practitioner - Family	RN254746 (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. Patricia Proveaux allows following entities to bill medicare on her behalf.

Entity Name	Wellstar Medical Group, Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1558664003 PECOS PAC ID: 6709065402 Enrollment ID: O20110127000374

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. Patricia Proveaux 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
Patricia Proveaux, FNP-BC 60 Perimeter Center Pl Ne Apt 415, Atlanta, GA 30346-4217 Ph: (912) 675-5735	Patricia Proveaux, FNP-BC 5461 Meridian Mark Rd Ste 130, Atlanta, GA 30342-3009 Ph: (404) 255-2033

Reviews and Comments

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Patricia Proveaux, FNP-BC - Medicare Nurse Practitioner in Atlanta, GA