| Ms Paige B Kenway, AGPCNP-BC | |
|
132 Old Norton Rd Ste 200, Fayetteville, GA 30215-4873 | |
| (678) 817-1117 | |
| (678) 817-0823 |
| Full Name | Ms Paige B Kenway |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 6 Years |
| Location | 132 Old Norton Rd Ste 200, Fayetteville, Georgia |
| Accepts Medicare Assignments | May be. She may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1720548704 | NPI | - | NPPES |
| 003217336A | Medicaid | GA | |
| G11383A | Other | GA | MEDICARE PTAN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363L00000X | Nurse Practitioner | RN222344 (Georgia) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Brightmoor Hospice Llc | 7517997141 | 5 |
| Entity Name | Nsh Cancer Institute Professional Services G Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1144571381 PECOS PAC ID: 0840443164 Enrollment ID: O20130128000225 |
| Entity Name | Brightmoor Hospice Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1275520751 PECOS PAC ID: 7517997141 Enrollment ID: O20210316001311 |
| Mailing Address | Practice Location Address |
|---|---|
| Ms Paige B Kenway, AGPCNP-BC 1835 Savoy Dr Ste 300, Atlanta, GA 30341-1071 Ph: (678) 817-1117 | Ms Paige B Kenway, AGPCNP-BC 132 Old Norton Rd Ste 200, Fayetteville, GA 30215-4873 Ph: (678) 817-1117 |
Ms. Philicia Duncan, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 735 Glynn Street South, Fayetteville, GA 30214 Phone: 770-461-4126 | |
Brittney Shay Pasko, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1267 Highway 54 W Ste 2200, Fayetteville, GA 30214 Phone: 770-719-0051 Fax: 770-716-0087 | |
Angela Miller, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1255 Highway 54 W, Fayetteville, GA 30214 Phone: 770-719-6799 Fax: 770-719-6059 | |
Eleasa Milano, APRN Nurse Practitioner Medicare: May Accept Medicare Assignments Practice Location: 130 Heatherden Ave, Fayetteville, GA 30214 Phone: 808-446-4609 | |
Erin Dee Smith, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1336 Highway 54 W Bldg 500, Fayetteville, GA 30214 Phone: 770-461-1238 | |
Mrs. Ashley Miller, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1240 Highway 54 W Ste 602, Fayetteville, GA 30214 Phone: 678-971-4167 Fax: 833-989-2501 | |
Omolola Otubaga, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 101 Beckett Ln, Ste. 304, Fayetteville, GA 30214 Phone: 770-703-4448 Fax: 770-703-4038 |