Anslie Prudhomme, in Roswell, GA - Medicare Nurse Practitioner

Anslie Prudhomme, is a medicare enrolled "Nurse Practitioner - Family" in Roswell, Georgia. Her current practice location is 4364 Burnleigh Chase Ne, Roswell, Georgia. You can reach out to her office (for appointments etc.) via phone at (904) 545-0747.

Anslie Prudhomme is licensed to practice in Georgia (license number RN273932) 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 1285126391.

Contact Information

	Anslie Prudhomme,
	4364 Burnleigh Chase Ne, Roswell, GA 30075-1956
	(904) 545-0747
	Not Available

Map and Direction

Provider's Profile

Full Name	Anslie Prudhomme
Gender	Female
Speciality	Nurse Practitioner - Family
Location	4364 Burnleigh Chase Ne, Roswell, Georgia
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1285126391
Provider Enumeration Date: 06/04/2018
Last Update Date: 10/09/2025

Medicare PECOS Information:

PECOS PAC ID: 9234574641
Enrollment ID: I20240226001094

Medical Identifiers

Medical identifiers for Anslie Prudhomme such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1285126391	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	RN273932 (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. Anslie Prudhomme allows following entities to bill medicare on her behalf.

Entity Name	Kcp Enterprises
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1043679418 PECOS PAC ID: 7517303613 Enrollment ID: O20240312001492

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. Anslie Prudhomme 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
Anslie Prudhomme, 4364 Burnleigh Chase Ne, Roswell, GA 30075-1956 Ph: () -	Anslie Prudhomme, 4364 Burnleigh Chase Ne, Roswell, GA 30075-1956 Ph: (904) 545-0747

Reviews and Comments

Nurse Practitioner Nurses in Roswell, GA

Taylor Marie Battaglia, CNM Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1300 Upper Hembree Rd Ste D, Roswell, GA 30076 Phone: 770-670-6170
Ms. Barbara L Norvell, C.N.P. Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 11660 Alpharetta Hwy, Suite 430, Roswell, GA 30076 Phone: 770-255-1069
Corie Johnson Grabowski, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 11835 Alpharetta Hwy Ste 101, Roswell, GA 30076 Phone: 704-757-5507
Chinwenwa Onwubiko, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 300 Colonial Center Pkwy, Roswell, GA 30076 Phone: 404-693-5565 Fax: 920-212-2048
Kendaly Meadows, N.P. Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 901 Bombay Ln, Roswell, GA 30076 Phone: 770-664-1920
Ms. Denise Danielle Robinson, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1300 Upper Hembree Rd Ste 100, Roswell, GA 30076 Phone: 678-736-7680
Mary Rose Paris, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 3000 Hospital Blvd, Anesthesia Department, Roswell, GA 30076 Phone: 770-751-2623 Fax: 770-751-2627

Anslie Prudhomme, - Medicare Nurse Practitioner in Roswell, GA