Usha Praveen, AGACNP in Gainesville, GA - Medicare Nurse Practitioner

Usha Praveen, AGACNP is a medicare enrolled "Nurse Practitioner" in Gainesville, Georgia. Her current practice location is 663 Lanier Park Dr, Gainesville, Georgia. You can reach out to her office (for appointments etc.) via phone at (678) 450-0202.

Usha Praveen is licensed to practice in Georgia (license number RN200107) 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 1972088052.

Contact Information

	Usha Praveen, AGACNP
	663 Lanier Park Dr, Gainesville, GA 30501-2059
	(678) 450-0202
	Not Available

Map and Direction

Provider's Profile

Full Name	Usha Praveen
Gender	Female
Speciality	Nurse Practitioner
Location	663 Lanier Park Dr, Gainesville, Georgia
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1972088052
Provider Enumeration Date: 09/25/2018
Last Update Date: 01/13/2022

Medicare PECOS Information:

PECOS PAC ID: 3870830219
Enrollment ID: I20190123003489

Medical Identifiers

Medical identifiers for Usha Praveen such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1972088052	NPI	-	NPPES
583530005	Other	GA	AANP

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363L00000X	Nurse Practitioner	RN200107 (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. Usha Praveen allows following entities to bill medicare on her behalf.

Entity Name	The Southeast Permanente Medical Group
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1245266956 PECOS PAC ID: 6204829013 Enrollment ID: O20040407000370

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. Usha Praveen 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
Usha Praveen, AGACNP 3495 Piedmont Rd Ne, Attn: Tobie Shelley, Atlanta, GA 30305-1717 Ph: (404) 365-0966	Usha Praveen, AGACNP 663 Lanier Park Dr, Gainesville, GA 30501-2059 Ph: (678) 450-0202

Reviews and Comments

Nurse Practitioner Nurses in Gainesville, GA

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Laura J Banner, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1315 Jesse Jewell Pkwy Ne Ste 300, Gainesville, GA 30501 Phone: 770-219-6520
Molly Bruce, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1250 Jesse Jewell Pkwy Se Ste 200, Gainesville, GA 30501 Phone: 770-297-7277

Usha Praveen, AGACNP - Medicare Nurse Practitioner in Gainesville, GA