Eptesam Sufiyan, PMHNP-BC in Snellville, GA - Medicare Nurse Practitioner

Eptesam Sufiyan, PMHNP-BC is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" in Snellville, Georgia. Her current practice location is 1700 Medical Way, Snellville, Georgia. You can reach out to her office (for appointments etc.) via phone at (478) 464-8134.

Eptesam Sufiyan is licensed to practice in Georgia (license number RN287246) 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 1184358079.

Contact Information

	Eptesam Sufiyan, PMHNP-BC
	1700 Medical Way, Snellville, GA 30078-2195
	(478) 464-8134
	Not Available

Map and Direction

Provider's Profile

Full Name	Eptesam Sufiyan
Gender	Female
Speciality	Nurse Practitioner - Psychiatric/mental Health
Location	1700 Medical Way, Snellville, Georgia
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1184358079
Provider Enumeration Date: 07/15/2022
Last Update Date: 10/05/2023

Medicare PECOS Information:

PECOS PAC ID: 5597128975
Enrollment ID: I20230901000288

Medical Identifiers

Medical identifiers for Eptesam Sufiyan such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1184358079	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LP0808X	Nurse Practitioner - Psychiatric/mental Health	RN287246 (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. Eptesam Sufiyan allows following entities to bill medicare on her behalf.

Entity Name	Columbus Ambulatory Healthcare Services, Inc.
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1790733244 PECOS PAC ID: 1355244385 Enrollment ID: O20040128000790

Entity Name	Piedmont Hospitalist Physicians Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1548219660 PECOS PAC ID: 1951299163 Enrollment ID: O20040309000820

Entity Name	Piedmont Athens Hospitalist Physicians Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1578079000 PECOS PAC ID: 6305196411 Enrollment ID: O20180911003967

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. Eptesam Sufiyan 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
Eptesam Sufiyan, PMHNP-BC 46 Darcee Ct, Lawrenceville, GA 30046-7401 Ph: () -	Eptesam Sufiyan, PMHNP-BC 1700 Medical Way, Snellville, GA 30078-2195 Ph: (478) 464-8134

Reviews and Comments

Nurse Practitioner Nurses in Snellville, GA

Jason R Casey, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1557 Janmar Rd, Snellville, GA 30078 Phone: 678-344-8900 Fax: 678-666-5201
Aneka Fawn Williams, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1800 Tree Ln Ste 250, Snellville, GA 30078 Phone: 770-736-6300
Yovanie Jean-pierre, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2986 Elizabeth Ln, Snellville, GA 30078 Phone: 404-694-7588
Mrs. Katherine Evans Davis, RNC, NNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1700 Medical Way, Snellville, GA 30078 Phone: 770-876-7464
Dr. Angella Samuels, DNP Nurse Practitioner Medicare: May Accept Medicare Assignments Practice Location: 2795 Main St W Bldg 21, New Horizons Family Clinic, Snellville, GA 30078 Phone: 770-248-1637 Fax: 770-248-1638
Shannon Maria Saroka, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2160 Fountain Dr Ste D, Snellville, GA 30078 Phone: 770-982-7790 Fax: 770-982-7795
Micheal Tyrone Wright, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1700 Medical Way, Snellville, GA 30078 Phone: 770-979-0200

Eptesam Sufiyan, PMHNP-BC - Medicare Nurse Practitioner in Snellville, GA