Mikaela M Peribonio, AGNP-C in Marietta, GA - Medicare Nurse Practitioner

Mikaela M Peribonio, AGNP-C is a medicare enrolled "Nurse Practitioner - Gerontology" in Marietta, Georgia. She went to University Of Alabama School Of Medicine and graduated in 2024 and has 1 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Resurgens, Llc, Physiotherapy Associates Inc and her current practice location is 790 Church St Ne Ste 300, Marietta, Georgia. You can reach out to her office (for appointments etc.) via phone at (770) 422-3290.

Mikaela M Peribonio is licensed to practice in Georgia (license number NP291729) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1811610553.

Contact Information

	Mikaela M Peribonio, AGNP-C
	790 Church St Ne Ste 300, Marietta, GA 30060-8940
	(770) 422-3290
	(770) 422-0287

Map and Direction

Provider's Profile

Full Name	Mikaela M Peribonio
Gender	Female
Speciality	Nurse Practitioner
Experience	1 Years
Location	790 Church St Ne Ste 300, Marietta, Georgia
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Mikaela M Peribonio attended and graduated from University Of Alabama School Of Medicine in 2024

NPI Data:

NPI Number: 1811610553
Provider Enumeration Date: 09/19/2022
Last Update Date: 11/20/2025

Medicare PECOS Information:

PECOS PAC ID: 6103353321
Enrollment ID: I20241228000096

Medical Identifiers

Medical identifiers for Mikaela M Peribonio such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1811610553	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
163W00000X	Registered Nurse	RN291729 (Georgia)	Secondary
363LG0600X	Nurse Practitioner - Gerontology	NP291729 (Georgia)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Resurgens, Llc	1153224142	148
Physiotherapy Associates Inc	3577470442	1089

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. Mikaela M Peribonio allows following entities to bill medicare on her behalf.

Entity Name	Resurgens, Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1386697928 PECOS PAC ID: 1153224142 Enrollment ID: O20040128000595

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. Mikaela M Peribonio 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
Mikaela M Peribonio, AGNP-C 790 Church St Ne Ste 300, Marietta, GA 30060-8940 Ph: (770) 422-3290	Mikaela M Peribonio, AGNP-C 790 Church St Ne Ste 300, Marietta, GA 30060-8940 Ph: (770) 422-3290

Reviews and Comments

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Mikaela M Peribonio, AGNP-C - Medicare Nurse Practitioner in Marietta, GA