Ms Grace I Misaki, NP in Dacula, GA - Medicare Nurse Practitioner

Ms Grace I Misaki, NP is a medicare enrolled "Nurse Practitioner" in Dacula, Georgia. Her current practice location is 4285 Jim Moore Rd Ste 200, Dacula, Georgia. You can reach out to her office (for appointments etc.) via phone at (770) 442-1911.

Ms Grace I Misaki is licensed to practice in Georgia (license number RN098265) 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 1558340349.

Contact Information

	Ms Grace I Misaki, NP
	4285 Jim Moore Rd Ste 200, Dacula, GA 30019-1551
	(770) 442-1911
	(707) 442-0306

Map and Direction

Provider's Profile

Full Name	Ms Grace I Misaki
Gender	Female
Speciality	Nurse Practitioner
Location	4285 Jim Moore Rd Ste 200, Dacula, Georgia
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1558340349
Provider Enumeration Date: 01/11/2006
Last Update Date: 05/10/2023

Medicare PECOS Information:

PECOS PAC ID: 0042318644
Enrollment ID: I20070605000597

Medical Identifiers

Medical identifiers for Ms Grace I Misaki such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1558340349	NPI	-	NPPES
000852057E	Medicaid	GA

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363L00000X	Nurse Practitioner	RN098265 (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. Ms Grace I Misaki allows following entities to bill medicare on her behalf.

Entity Name	Southeast Medical Group, P.c.
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1235296054 PECOS PAC ID: 3577559673 Enrollment ID: O20040423000347

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. Ms Grace I Misaki 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
Ms Grace I Misaki, NP 1835 Savoy Dr, Suite 300, Atlanta, GA 30341-1072 Ph: (770) 496-9400	Ms Grace I Misaki, NP 4285 Jim Moore Rd Ste 200, Dacula, GA 30019-1551 Ph: (770) 442-1911

Reviews and Comments

Nurse Practitioner Nurses in Dacula, GA

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Allisan Faye Meadows, FPN-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 465 Dacula Rd Ste I, Dacula, GA 30019 Phone: 770-822-1922
Yentl Butler, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 3027 Jim Moore Rd, Dacula, GA 30019 Phone: 866-389-2727
Lucy Johnson, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2700 Braselton Hwy Ste 10-278, Dacula, GA 30019 Phone: 678-887-9315

Ms Grace I Misaki, NP - Medicare Nurse Practitioner in Dacula, GA