Mrs Miriam Tivzenda, FNP in Sandy Springs, GA

Mrs Miriam Tivzenda, FNP is a medicare enrolled "Nurse Practitioner - Family" in Sandy Springs, Georgia. Her current practice location is 1120 Hope Rd Ste 210, Sandy Springs, Georgia. You can reach out to her office (for appointments etc.) via phone at (833) 633-4778.

Mrs Miriam Tivzenda is licensed to practice in Georgia (license number NC000003) 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 1902466154.

Contact Information

	Mrs Miriam Tivzenda, FNP
	1120 Hope Rd Ste 210, Sandy Springs, GA 30350-2957
	(833) 633-4778
	Not Available

Map and Direction

Provider's Profile

Full Name	Mrs Miriam Tivzenda
Gender	Female
Speciality	Nurse Practitioner - Family
Location	1120 Hope Rd Ste 210, Sandy Springs, Georgia
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1902466154
Provider Enumeration Date: 06/19/2019
Last Update Date: 06/19/2019

Medicare PECOS Information:

PECOS PAC ID: 8527492370
Enrollment ID: I20200102001836

Medical Identifiers

Medical identifiers for Mrs Miriam Tivzenda such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1902466154	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	NC000003 (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. Mrs Miriam Tivzenda allows following entities to bill medicare on her behalf.

Entity Name	Saint Joseph's Mercy Care Services Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1588663421 PECOS PAC ID: 9931191525 Enrollment ID: O20050516000862

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. Mrs Miriam Tivzenda 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
Mrs Miriam Tivzenda, FNP 1120 Hope Rd Ste 210, Sandy Springs, GA 30350-2957 Ph: (833) 633-4778	Mrs Miriam Tivzenda, FNP 1120 Hope Rd Ste 210, Sandy Springs, GA 30350-2957 Ph: (833) 633-4778

Reviews and Comments

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Afusat Omolara Adeyemi, A-GNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 50 Glenlake Pkwy Ste 200, Sandy Springs, GA 30328 Phone: 833-917-2106
Anne-danielle Dorcent, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1120 Hope Rd # 210, Sandy Springs, GA 30350 Phone: 833-633-4778
Traci M Perry, APRN, CPNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 8601 Dunwoody Pl Ste 565, Sandy Springs, GA 30350 Phone: 678-956-0005

Mrs Miriam Tivzenda, FNP - Medicare Nurse Practitioner in Sandy Springs, GA