Mrs Sherly John, in Stone Mountain, GA - Medicare Nurse Practitioner

Mrs Sherly John, is a medicare enrolled "Nurse Practitioner - Adult Health" in Stone Mountain, Georgia. Her current practice location is 4958 Memorial Dr, Stone Mountain, Georgia. You can reach out to her office (for appointments etc.) via phone at (404) 809-2408.

Mrs Sherly John is licensed to practice in Georgia (license number AG08210123) 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 1003578840.

Contact Information

	Mrs Sherly John,
	4958 Memorial Dr, Stone Mountain, GA 30083-4148
	(404) 809-2408
	Not Available

Map and Direction

Provider's Profile

Full Name	Mrs Sherly John
Gender	Female
Speciality	Nurse Practitioner - Adult Health
Location	4958 Memorial Dr, Stone Mountain, Georgia
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1003578840
Provider Enumeration Date: 10/08/2021
Last Update Date: 10/13/2021

Medicare PECOS Information:

PECOS PAC ID: 4082077714
Enrollment ID: I20230829002735

Medical Identifiers

Medical identifiers for Mrs Sherly John such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1003578840	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LA2200X	Nurse Practitioner - Adult Health	AG08210123 (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 Sherly John allows following entities to bill medicare on her behalf.

Entity Name	Vpa Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1164149365 PECOS PAC ID: 9234041948 Enrollment ID: O20210722000258

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 Sherly John 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 Sherly John, 432 Hinton Farm Way, Dacula, GA 30019-2175 Ph: (678) 800-6651	Mrs Sherly John, 4958 Memorial Dr, Stone Mountain, GA 30083-4148 Ph: (404) 809-2408

Reviews and Comments

Nurse Practitioner Nurses in Stone Mountain, GA

Wendy Woodward Schaal, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 5320 Memorial Dr, Stone Mountain, GA 30083 Phone: 404-508-6499
Roneshia Michelle Rudolph-meadows, FNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 5674 Memorial Dr, Stone Mountain, GA 30083 Phone: 770-322-6161 Fax: 770-322-6191
Julie Noelle Knisely, FNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 5582 Memorial Dr, Stone Mountain, GA 30083 Phone: 404-298-8998
Pauline Kpannah, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 4952 Green Bark Cir E, Stone Mountain, GA 30083 Phone: 678-396-0843
Mr. Justin Stewart Kitchens, NP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 5405 Memorial Dr Ste D, Stone Mountain, GA 30083 Phone: 404-296-3800 Fax: 404-297-8753
Mrs. Timanika A Dansby, FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1825 Rockbridge Rd Ste 15b, Stone Mountain, GA 30087 Phone: 470-444-3134 Fax: 470-276-4370

Mrs Sherly John, - Medicare Nurse Practitioner in Stone Mountain, GA