Charles Peguy Guillaume, PMHNP in Snellville, GA

Charles Peguy Guillaume, PMHNP is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" in Snellville, Georgia. He graduated from nursing school in 2014 and has 11 years of diverse experience with area of expertise as Nurse Practitioner. He is a member of the group practice Personal Recovery Network Llc and his current practice location is 3991 Highway 78 W Ste 203, Snellville, Georgia. You can reach out to his office (for appointments etc.) via phone at (770) 978-9393.

Charles Peguy Guillaume is licensed to practice in Georgia (license number APRN-NP180218) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1114322419.

Contact Information

	Charles Peguy Guillaume, PMHNP
	3991 Highway 78 W Ste 203, Snellville, GA 30039-3929
	(770) 978-9393
	(770) 978-9324

Map and Direction

Provider's Profile

Full Name	Charles Peguy Guillaume
Gender	Male
Speciality	Nurse Practitioner
Experience	11 Years
Location	3991 Highway 78 W Ste 203, Snellville, Georgia
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Charles Peguy Guillaume graduated from nursing school in 2014

NPI Data:

NPI Number: 1114322419
Provider Enumeration Date: 10/29/2014
Last Update Date: 10/23/2025

Medicare PECOS Information:

PECOS PAC ID: 4981996378
Enrollment ID: I20160705001421

Medical Identifiers

Medical identifiers for Charles Peguy Guillaume such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1114322419	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
163W00000X	Registered Nurse	RN180218 (Georgia)	Secondary
363LP0808X	Nurse Practitioner - Psychiatric/mental Health	APRN-NP180218 (Georgia)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Personal Recovery Network Llc	5092611384	453

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. Charles Peguy Guillaume allows following entities to bill medicare on his behalf.

Entity Name	Life Healing Center Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1104149160 PECOS PAC ID: 9638294309 Enrollment ID: O20100917000834

Entity Name	Personal Recovery Network Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1881990869 PECOS PAC ID: 5092611384 Enrollment ID: O20120110000096

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. Charles Peguy Guillaume 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
Charles Peguy Guillaume, PMHNP 3991 Highway 78 W Ste 203, Snellville, GA 30039-3929 Ph: (770) 978-9393	Charles Peguy Guillaume, PMHNP 3991 Highway 78 W Ste 203, Snellville, GA 30039-3929 Ph: (770) 978-9393

Reviews and Comments

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Charles Peguy Guillaume, PMHNP - Medicare Nurse Practitioner in Snellville, GA