Ivy Akua Fenin, NP is a medicare enrolled "Nurse Practitioner" physician in Austell, Georgia. She graduated from medical school in 2015 and has 9 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Wellstreet Of Georgia Pc and her current practice location is
4120 Austell Rd, Austell, Georgia. You can reach out to her office (for appointments etc.) via phone at
(678) 732-1500.
Ivy Akua Fenin is licensed to practice in Georgia (license number RN185101) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1780039131.
Physician's Profile
| Full Name | Ivy Akua Fenin |
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| Gender | Female |
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| Speciality | Nurse Practitioner |
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| Experience | 9 Years |
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| Location | 4120 Austell Rd, Austell, Georgia |
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| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Ivy Akua Fenin graduated from medical school in 2015
NPI Data:
- NPI Number: 1780039131
- Provider Enumeration Date: 05/03/2016
- Last Update Date: 03/27/2024
Medicare PECOS Information:
- PECOS PAC ID: 1850681271
- Enrollment ID: I20160526000390
Medical Identifiers
Medical identifiers for Ivy Akua Fenin such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1780039131 | NPI | - | NPPES |
| RN185101 | Other | GA | RN |
| RN185101 | Other | GA | APRN |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 207Q00000X | Family Medicine | RN185101 (Georgia) | Secondary |
| 363L00000X | Nurse Practitioner | RN185101 (Georgia) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Wellstreet Of Georgia Pc | 7517126279 | 377 |
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. Ivy Akua Fenin allows following entities to bill medicare on her behalf.
| Entity Name | Piedmont Medical Care Corporation |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1912956046
PECOS PAC ID: 6002802220
Enrollment ID: O20040422001500 |
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| Entity Name | Piedmont Professional Services Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1104088905
PECOS PAC ID: 8921176231
Enrollment ID: O20081014000187 |
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| Entity Name | Wellstreet Of Georgia Pc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1235411547
PECOS PAC ID: 7517126279
Enrollment ID: O20120315000603 |
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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. Ivy Akua Fenin 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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Ivy Akua Fenin, NP
Po Box 102038,
Atlanta, GA 30368-2038
Ph: () - | Ivy Akua Fenin, NP
4120 Austell Rd,
Austell, GA 30106-1841
Ph: (678) 732-1500 |
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