Treva S Peace, AGNPC is a medicare enrolled "Nurse Practitioner" in Good Hope, Georgia. Her current practice location is
2389 Randolph Still Rd, Good Hope, Georgia. You can reach out to her office (for appointments etc.) via phone at
(678) 431-7487.
Treva S Peace is licensed to practice in Georgia (license number RN281405) 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 1023726080.
Provider's Profile
| Full Name | Treva S Peace |
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| Gender | Female |
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| Speciality | Nurse Practitioner |
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| Location | 2389 Randolph Still Rd, Good Hope, Georgia |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1023726080
- Provider Enumeration Date: 11/09/2022
- Last Update Date: 01/12/2023
Medicare PECOS Information:
- PECOS PAC ID: 6800267303
- Enrollment ID: I20230119003336
Medical Identifiers
Medical identifiers for Treva S Peace such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1023726080 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 163W00000X | Registered Nurse | RN281405 (Georgia) | Secondary |
| 363L00000X | Nurse Practitioner | RN281405 (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. Treva S Peace allows following entities to bill medicare on her behalf.
| Entity Name | Tmb Medical Associates, P.c. |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1649413055
PECOS PAC ID: 6406907088
Enrollment ID: O20090622000112 |
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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. Treva S Peace 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 |
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Treva S Peace, AGNPC
2389 Randolph Still Rd,
Good Hope, GA 30641-2132
Ph: (678) 431-7487 | Treva S Peace, AGNPC
2389 Randolph Still Rd,
Good Hope, GA 30641-2132
Ph: (678) 431-7487 |
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