Irene Obiageri Ibenyenwa, FNP-C - Medicare Nurse Practitioner in Douglasville, GA

Irene Obiageri Ibenyenwa, FNP-C is a medicare enrolled "Nurse Practitioner - Family" in Douglasville, Georgia. Her current practice location is 6031 Fairburn Rd, Douglasville, Georgia. You can reach out to her office (for appointments etc.) via phone at (770) 942-9214.

Irene Obiageri Ibenyenwa is licensed to practice in Georgia (license number 184698) 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 1023661816.

Contact Information

Irene Obiageri Ibenyenwa, FNP-C
6031 Fairburn Rd,
Douglasville, GA 30134-2307
(770) 942-9214
Not Available



Provider's Profile

Full NameIrene Obiageri Ibenyenwa
GenderFemale
SpecialityNurse Practitioner - Family
Location6031 Fairburn Rd, Douglasville, Georgia
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1023661816
  • Provider Enumeration Date: 07/20/2019
  • Last Update Date: 04/09/2024
  Medicare PECOS Information:
  • PECOS PAC ID: 3678804994
  • Enrollment ID: I20191016003827

Medical Identifiers

Medical identifiers for Irene Obiageri Ibenyenwa such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1023661816NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LF0000XNurse Practitioner - Family 184698 (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. Irene Obiageri Ibenyenwa allows following entities to bill medicare on her behalf.
Entity NameTlc Of Georgia Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1750677241
PECOS PAC ID: 5496924490
Enrollment ID: O20110809000175

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Entity NameSf Georgia Medical Services Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1841857794
PECOS PAC ID: 6709110943
Enrollment ID: O20190622000066

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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. Irene Obiageri Ibenyenwa 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
Irene Obiageri Ibenyenwa, FNP-C
195 Park Chase Ln,
Dallas, GA 30132-3137

Ph: (404) 405-2424
Irene Obiageri Ibenyenwa, FNP-C
6031 Fairburn Rd,
Douglasville, GA 30134-2307

Ph: (770) 942-9214

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Nurse Practitioner Nurses in Douglasville, GA

Amparo Pyronneau, NP
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 8954 Hospital Dr, Building B, Suite 115, Douglasville, GA 30134
Phone: 770-874-5400    
Ms. Tommie Joann Floyd, A.P.N.
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 6025 Professional Pkwy Ste 200, Douglasville, GA 30134
Phone: 770-949-0555    
Nina Sheria Lagarde, NP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 8954 Hospital Dr, Douglasville, GA 30134
Phone: 678-838-2584    
Amanda Ray, FNP-C
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 9280 Highway 5, Douglasville, GA 30134
Phone: 770-949-2250    
Hina Rajesh Nana, APRN
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 6025 Professional Pkwy, Suite 200, Douglasville, GA 30134
Phone: 770-949-0555    Fax: 770-949-4424
Kelly Quiana Talbert Thaggard, FNP-BC
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 3872 Highway 5, Douglasville, GA 30135
Phone: 770-949-5535    Fax: 770-949-9022

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