Philip Boadu, NP - Medicare Nurse Practitioner in Loganville, GA

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Philip Boadu, NP is a medicare enrolled "Nurse Practitioner - Family" in Loganville, Georgia. He went to City University Of New York School Of Medicine and graduated in 2020 and has 6 years of diverse experience with area of expertise as Nurse Practitioner. He is a member of the group practice Wellstreet Of Georgia Pc and his current practice location is 4763 Atlanta Hwy Ste 420, Loganville, Georgia. You can reach out to his office (for appointments etc.) via phone at (404) 395-6781.

Philip Boadu is licensed to practice in Georgia (license number APRN-NP303104) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1992314439.

Contact Information

Philip Boadu, NP
4763 Atlanta Hwy Ste 420,
Loganville, GA 30052-6788
(404) 395-6781
Not Available

Map and Direction




Provider's Profile

Full NamePhilip Boadu
GenderMale
SpecialityNurse Practitioner
Experience6 Years
Location4763 Atlanta Hwy Ste 420, Loganville, Georgia
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Philip Boadu attended and graduated from City University Of New York School Of Medicine in 2020
  NPI Data:
  • NPI Number: 1992314439
  • Provider Enumeration Date: 07/30/2020
  • Last Update Date: 10/28/2025
  Medicare PECOS Information:
  • PECOS PAC ID: 5294148391
  • Enrollment ID: I20250808002181

Medical Identifiers

Medical identifiers for Philip Boadu such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1992314439NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LF0000XNurse Practitioner - Family APRN-NP303104 (Georgia)Primary
251J00000XNursing Care 651299 (New York)Secondary
363LP2300XNurse Practitioner - Primary Care F346860-01 (New York)Secondary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Wellstreet Of Georgia Pc7517126279425

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. Philip Boadu allows following entities to bill medicare on his behalf.
Entity NameWellstreet of Georgia PC
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1235411547
PECOS PAC ID: 7517126279
Enrollment ID: O20120315000603
Entity NameSignify Health Medical Associates PLLC
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1750845863
PECOS PAC ID: 2163764424
Enrollment ID: O20200115001292

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. Philip Boadu 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 AddressPractice Location Address
Philip Boadu, NP
452 Springlake Rd,
Lawrenceville, GA 30046-5090

Ph: (646) 226-7209		Philip Boadu, NP
4763 Atlanta Hwy Ste 420,
Loganville, GA 30052-6788

Ph: (404) 395-6781

Reviews and Comments


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Gopika Naidu, FNP-C
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Practice Location: 3815 Harrison Rd, Loganville, GA 30052
Phone: 678-527-6000    Fax: 770-466-6201
Johanne Dastine-coriolan, NP
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Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.