Mrs Marlie Driver Grogan, NP in Byron, GA - Medicare Nurse Practitioner

Mrs Marlie Driver Grogan, NP is a medicare enrolled "Nurse Practitioner - Family" in Byron, Georgia. Her current practice location is 6005 Watson Blvd Ste 100, Byron, Georgia. You can reach out to her office (for appointments etc.) via phone at (478) 956-5002.

Mrs Marlie Driver Grogan is licensed to practice in Georgia (license number RN292113) 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 1508561622.

Contact Information

	Mrs Marlie Driver Grogan, NP
	6005 Watson Blvd Ste 100, Byron, GA 31008-6749
	(478) 956-5002
	(478) 956-5003

Map and Direction

Provider's Profile

Full Name	Mrs Marlie Driver Grogan
Gender	Female
Speciality	Nurse Practitioner - Family
Location	6005 Watson Blvd Ste 100, Byron, Georgia
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1508561622
Provider Enumeration Date: 03/31/2023
Last Update Date: 09/20/2024

Medicare PECOS Information:

PECOS PAC ID: 8325572514
Enrollment ID: I20241111002388

Medical Identifiers

Medical identifiers for Mrs Marlie Driver Grogan such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1508561622	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
163W00000X	Registered Nurse	RN292113 (Georgia)	Secondary
363LF0000X	Nurse Practitioner - Family	RN292113 (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. Mrs Marlie Driver Grogan allows following entities to bill medicare on her behalf.

Entity Name	Careconnect Health Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1063436624 PECOS PAC ID: 7810980794 Enrollment ID: O20040406001286

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. Mrs Marlie Driver Grogan 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
Mrs Marlie Driver Grogan, NP 6005 Watson Blvd Ste 100, Byron, GA 31008-6749 Ph: (478) 956-5002	Mrs Marlie Driver Grogan, NP 6005 Watson Blvd Ste 100, Byron, GA 31008-6749 Ph: (478) 956-5002

Reviews and Comments

Nurse Practitioner Nurses in Byron, GA

Mrs. Tara Leeann Hamilton, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1960 Highway 247 Conn, Byron, GA 31008 Phone: 478-654-2400
Chelsea Hayman, DNP, APRN, FNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 6005 Watson Blvd Ste 100, Byron, GA 31008 Phone: 478-956-5002 Fax: 478-956-5003
Jennifer Smith, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 103 Moseley Rd, Byron, GA 31008 Phone: 478-654-5327 Fax: 478-654-5218
Holly Rebecca Norris, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 6021 Watson Blvd, Byron, GA 31008 Phone: 478-956-5002 Fax: 478-956-5003
Mrs. Tyechia Lewis Hall, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 6005 Watson Blvd Ste 100, Byron, GA 31008 Phone: 478-699-1028 Fax: 478-699-1029
Mrs. Daniela Torres, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 6005 Watson Blvd Ste 100, Byron, GA 31008 Phone: 478-956-5002
Casey Cochran, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 6005 Watson Blvd Ste 100, Byron, GA 31008 Phone: 478-699-1028 Fax: 478-699-1029

Mrs Marlie Driver Grogan, NP - Medicare Nurse Practitioner in Byron, GA