Modupeola Brisibe, in Marietta, GA - Medicare Nurse Practitioner

Modupeola Brisibe, is a medicare enrolled "Nurse Practitioner - Family" in Marietta, Georgia. She graduated from nursing school in 2015 and has 9 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Iora Health Georgia Pc and her current practice location is 100 Piedmont Rd, Marietta, Georgia. You can reach out to her office (for appointments etc.) via phone at (866) 389-2727.

Modupeola Brisibe is licensed to practice in Georgia (license number RN192902) 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 1376993519.

Contact Information

	Modupeola Brisibe,
	100 Piedmont Rd, Marietta, GA 30066-3636
	(866) 389-2727
	Not Available

Map and Direction

Provider's Profile

Full Name	Modupeola Brisibe
Gender	Female
Speciality	Nurse Practitioner
Experience	9 Years
Location	100 Piedmont Rd, 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:

Modupeola Brisibe graduated from nursing school in 2015

NPI Data:

NPI Number: 1376993519
Provider Enumeration Date: 06/19/2016
Last Update Date: 04/03/2019

Medicare PECOS Information:

PECOS PAC ID: 9436420866
Enrollment ID: I20170803002316

Medical Identifiers

Medical identifiers for Modupeola Brisibe such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1376993519	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	192602 (Georgia)	Secondary
363LF0000X	Nurse Practitioner - Family	RN192902 (Georgia)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Iora Health Georgia Pc	1850644394	31

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. Modupeola Brisibe allows following entities to bill medicare on her behalf.

Entity Name	Iora Senior Health, Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1518446194 PECOS PAC ID: 0143520189 Enrollment ID: O20181029003060

Entity Name	Iora Health Georgia Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1457846727 PECOS PAC ID: 1850644394 Enrollment ID: O20181030001712

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. Modupeola Brisibe 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
Modupeola Brisibe, 2145 Wilmington Cir Ne, Marietta, GA 30062-1694 Ph: (678) 570-9637	Modupeola Brisibe, 100 Piedmont Rd, Marietta, GA 30066-3636 Ph: (866) 389-2727

Reviews and Comments

Nurse Practitioner Nurses in Marietta, GA

Mrs. Jennifer Irene Sarno, ACNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 780 Canton Rd Ne, Suite 400, Marietta, GA 30060 Phone: 770-422-3602
Stacey Glass Malstrom, NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 55 Whitcher St Ne Ste 350, Marietta, GA 30060 Phone: 770-424-6893
Tanisha Leonard, AGACNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 55 Whitcher St Ne Ste 350, Marietta, GA 30060 Phone: 770-424-6893 Fax: 770-528-9938
Julie J Baute, APRN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 780 Canton Rd Ne Ste 205, Marietta, GA 30060 Phone: 678-224-6198
Mrs. Susan Wanjiku Kamau, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1579 Sage Ridge Dr, Marietta, GA 30064 Phone: 404-643-0444
Ms. Trina Renee Cain, CNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 811 Kennesaw Ave Nw, Marietta, GA 30060 Phone: 678-458-5311
Mrs. Janie Clare Rishel-brier, NP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 670 North Ave Nw, Suite E, Attn: Macietta Rheumatology Associates, P.c., Marietta, GA 30060 Phone: 770-590-8328 Fax: 770-590-8231

Modupeola Brisibe, - Medicare Nurse Practitioner in Marietta, GA