Selamawit Mola, FNP in Stone Mountain, GA - Medicare Nurse Practitioner

Selamawit Mola, FNP is a medicare enrolled "Nurse Practitioner - Family" in Stone Mountain, Georgia. Her current practice location is 5468 Memorial Dr Ste D, Stone Mountain, Georgia. You can reach out to her office (for appointments etc.) via phone at (404) 963-2142.

Selamawit Mola is licensed to practice in Georgia (license number RN212894) 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 1619673944.

Contact Information

	Selamawit Mola, FNP
	5468 Memorial Dr Ste D, Stone Mountain, GA 30083-3267
	(404) 963-2142
	(404) 963-2098

Map and Direction

Provider's Profile

Full Name	Selamawit Mola
Gender	Female
Speciality	Nurse Practitioner - Family
Location	5468 Memorial Dr Ste D, 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: 1619673944
Provider Enumeration Date: 02/07/2023
Last Update Date: 09/18/2024

Medicare PECOS Information:

PECOS PAC ID: 2668991225
Enrollment ID: I20250528000285

Medical Identifiers

Medical identifiers for Selamawit Mola such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1619673944	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	RN212894 (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. Selamawit Mola allows following entities to bill medicare on her behalf.

Entity Name	Salam Clinic Primary And Urgent Care
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1023845880 PECOS PAC ID: 1759800311 Enrollment ID: O20250527003331

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. Selamawit Mola 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
Selamawit Mola, FNP 5468 Memorial Dr Ste D, Stone Mountain, GA 30083-3267 Ph: (404) 963-2142	Selamawit Mola, FNP 5468 Memorial Dr Ste D, Stone Mountain, GA 30083-3267 Ph: (404) 963-2142

Reviews and Comments

Nurse Practitioner Nurses in Stone Mountain, GA

Mrs. Sherly John, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 4958 Memorial Dr, Stone Mountain, GA 30083 Phone: 404-809-2408
Wendy Woodward Schaal, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 5320 Memorial Dr, Stone Mountain, GA 30083 Phone: 404-508-6499
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
Nikeisha Clevia Oliver, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1227 Rockbridge Rd, Stone Mountain, GA 30087 Phone: 770-413-1476
Andrea Zmaj, MSN, FNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 5674 Memorial Dr, Stone Mountain, GA 30083 Phone: 770-322-6161
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
Marc Elie Cayemitte, AGNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 5462 Memorial Dr Ste 101, Stone Mountain, GA 30083 Phone: 470-544-0854

Selamawit Mola, FNP - Medicare Nurse Practitioner in Stone Mountain, GA