Nichole Kay Peanasky, in Decatur, GA - Medicare Nurse Practitioner

Nichole Kay Peanasky, is a medicare enrolled "Nurse Practitioner - Adult Health" in Decatur, Georgia. Her current practice location is 2665 N Decatur Rd Ste 520, Decatur, Georgia. You can reach out to her office (for appointments etc.) via phone at (404) 299-2223.

Nichole Kay Peanasky is licensed to practice in Georgia (license number RN214615) 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 1578998878.

Contact Information

	Nichole Kay Peanasky,
	2665 N Decatur Rd Ste 520, Decatur, GA 30033-6146
	(404) 299-2223
	(404) 297-5003

Map and Direction

Provider's Profile

Full Name	Nichole Kay Peanasky
Gender	Female
Speciality	Nurse Practitioner - Adult Health
Location	2665 N Decatur Rd Ste 520, Decatur, Georgia
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1578998878
Provider Enumeration Date: 09/06/2013
Last Update Date: 06/14/2021

Medicare PECOS Information:

PECOS PAC ID: 2466770797
Enrollment ID: I20150416000485

Medical Identifiers

Medical identifiers for Nichole Kay Peanasky such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1578998878	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LA2200X	Nurse Practitioner - Adult Health	SP012819 (Pennsylvania)	Secondary
363LA2200X	Nurse Practitioner - Adult Health	RN214615 (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. Nichole Kay Peanasky allows following entities to bill medicare on her behalf.

Entity Name	Virtua Medical Group, Pa
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1649226515 PECOS PAC ID: 9830222397 Enrollment ID: O20100804000338

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. Nichole Kay Peanasky 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
Nichole Kay Peanasky, 2665 N Decatur Rd Ste 520, Decatur, GA 30033-6146 Ph: (404) 299-2223	Nichole Kay Peanasky, 2665 N Decatur Rd Ste 520, Decatur, GA 30033-6146 Ph: (404) 299-2223

Reviews and Comments

Nurse Practitioner Nurses in Decatur, GA

Antoinette Denise Gamble, N.P. Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1670 Clairmont Rd., Decatur, GA 30033 Phone: 404-321-6111
Sophia P Georges, AGNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1039 Highland Lake Cir, Decatur, GA 30033 Phone: 513-348-2926
Tammy Vardeman Aguilar, RN, NNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 101 W Ponce De Leon Ave, Suite #242, Decatur, GA 30030 Phone: 404-778-7622 Fax: 404-778-7645
Abdul Niazi, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 445 Winn Way, Decatur, GA 30030 Phone: 404-294-3745 Fax: 404-294-3710
Vivian S. Hayes, NP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1670 Clairmont Rd # 170c, Decatur, GA 30033 Phone: 404-321-6111 Fax: 404-235-3038
Jessica Willis, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2722 N Decatur Rd, Decatur, GA 30033 Phone: 678-467-7598
Ernest Leonard Gibson, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2561 Captains Row, Decatur, GA 30035 Phone: 404-839-2886

Nichole Kay Peanasky, - Medicare Nurse Practitioner in Decatur, GA