Kenya Marian Gaston, NP in Grovetown, GA - Medicare Nurse Practitioner

Kenya Marian Gaston, NP is a medicare enrolled "Nurse Practitioner - Family" in Grovetown, Georgia. Her current practice location is 417 Lewiston Rd, Grovetown, Georgia. You can reach out to her office (for appointments etc.) via phone at (404) 477-7376.

Kenya Marian Gaston is licensed to practice in Georgia (license number RN270103) 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 1902611163.

Contact Information

	Kenya Marian Gaston, NP
	417 Lewiston Rd, Grovetown, GA 30813-4287
	(404) 477-7376
	Not Available

Map and Direction

Provider's Profile

Full Name	Kenya Marian Gaston
Gender	Female
Speciality	Nurse Practitioner - Family
Location	417 Lewiston Rd, Grovetown, Georgia
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1902611163
Provider Enumeration Date: 02/12/2025
Last Update Date: 02/12/2025

Medicare PECOS Information:

PECOS PAC ID: 2860916830
Enrollment ID: I20250411000836

Medical Identifiers

Medical identifiers for Kenya Marian Gaston such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1902611163	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	RN270103 (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. Kenya Marian Gaston allows following entities to bill medicare on her behalf.

Entity Name	Wellstar Medical Group Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1558664003 PECOS PAC ID: 6709065402 Enrollment ID: O20110127000374

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. Kenya Marian Gaston 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
Kenya Marian Gaston, NP 4007 Corners Way, Grovetown, GA 30813-1247 Ph: (404) 477-7376	Kenya Marian Gaston, NP 417 Lewiston Rd, Grovetown, GA 30813-4287 Ph: (404) 477-7376

Reviews and Comments

Nurse Practitioner Nurses in Grovetown, GA

Ms. Shnita Gregory Wiley, FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 714 Porter Ln, Grovetown, GA 30813 Phone: 706-399-9624
Nataly Agabin, NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 4039 Gateway Blvd, Grovetown, GA 30813 Phone: 706-922-1600
Kimberly Crew Dunn, FNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 6236 Freedom Cir, Grovetown, GA 30813 Phone: 706-401-9115
Hannah Funmilayo Lawal Adeniji, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 479 Sebastian Dr, Grovetown, GA 30813 Phone: 705-373-0094
Ashley Turman Sabb, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1424 Calumet Dr, Grovetown, GA 30813 Phone: 706-699-1533
Amber Jillian Mccall, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1433 Sawmill Trl, Grovetown, GA 30813 Phone: 706-550-2144
Desiree Mock, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 443 Carole Dr, Grovetown, GA 30813 Phone: 706-541-1131

Kenya Marian Gaston, NP - Medicare Nurse Practitioner in Grovetown, GA