Marshet Tenaw, - Medicare Nurse Practitioner in Stone Mountain, GA

Marshet Tenaw, is a medicare enrolled "Nurse Practitioner - Family" physician in Stone Mountain, Georgia. Her current practice location is 4958 Memorial Dr, Stone Mountain, Georgia. You can reach out to her office (for appointments etc.) via phone at (404) 809-2480.

Marshet Tenaw is licensed to practice in Georgia (license number RN216626) 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 1366158669.

Contact Information

Marshet Tenaw,
4958 Memorial Dr,
Stone Mountain, GA 30083-4148
(404) 809-2480
Not Available



Physician's Profile

Full NameMarshet Tenaw
GenderFemale
SpecialityNurse Practitioner - Family
Location4958 Memorial Dr, Stone Mountain, Georgia
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1366158669
  • Provider Enumeration Date: 01/30/2023
  • Last Update Date: 11/06/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 0345601670
  • Enrollment ID: I20230802001495

Medical Identifiers

Medical identifiers for Marshet Tenaw such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1366158669NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207QA0505XFamily Medicine - Adult Medicine RN216626 (Georgia)Secondary
363LF0000XNurse Practitioner - Family RN216626 (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. Marshet Tenaw allows following entities to bill medicare on her behalf.
Entity NameGeorgia Nephrology, Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1063422723
PECOS PAC ID: 4082606496
Enrollment ID: O20040402000838

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Entity NameSignify Health Medical Associates Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1750845863
PECOS PAC ID: 2163764424
Enrollment ID: O20200115001292

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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. Marshet Tenaw 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 AddressPractice Location Address
Marshet Tenaw,
25 Villa Place Ct,
Tucker, GA 30084-1972

Ph: (770) 685-8821
Marshet Tenaw,
4958 Memorial Dr,
Stone Mountain, GA 30083-4148

Ph: (404) 809-2480

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