Stacey Favre Renner, APRN in Bonaire, GA - Medicare Nurse Practitioner

Stacey Favre Renner, APRN is a medicare enrolled "Nurse Practitioner - Family" in Bonaire, Georgia. She graduated from nursing school in 2013 and has 12 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Privia Medical Group Of Georgia Llc and her current practice location is 127 Old Highway 96 Ste B, Bonaire, Georgia. You can reach out to her office (for appointments etc.) via phone at (478) 352-7143.

Stacey Favre Renner is licensed to practice in Georgia (license number RN170160) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1043633985.

Contact Information

	Stacey Favre Renner, APRN
	127 Old Highway 96 Ste B, Bonaire, GA 31005-3461
	(478) 352-7143
	(478) 352-7144

Map and Direction

Provider's Profile

Full Name	Stacey Favre Renner
Gender	Female
Speciality	Nurse Practitioner
Experience	12 Years
Location	127 Old Highway 96 Ste B, Bonaire, Georgia
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Stacey Favre Renner graduated from nursing school in 2013

NPI Data:

NPI Number: 1043633985
Provider Enumeration Date: 01/29/2014
Last Update Date: 08/15/2025

Medicare PECOS Information:

PECOS PAC ID: 4688807415
Enrollment ID: I20140520002634

Medical Identifiers

Medical identifiers for Stacey Favre Renner such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1043633985	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	RN170160 (Georgia)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Privia Medical Group Of Georgia Llc	4284951542	411

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. Stacey Favre Renner allows following entities to bill medicare on her behalf.

Entity Name	Minuteclinic Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1134191836 PECOS PAC ID: 6709850241 Enrollment ID: O20051024000186

Entity Name	Privia Medical Group Of Georgia Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1013313857 PECOS PAC ID: 4284951542 Enrollment ID: O20150325000983

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. Stacey Favre Renner 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
Stacey Favre Renner, APRN 4300 N Point Pkwy Ste 300, Alpharetta, GA 30022-4102 Ph: () -	Stacey Favre Renner, APRN 127 Old Highway 96 Ste B, Bonaire, GA 31005-3461 Ph: (478) 352-7143

Reviews and Comments

Nurse Practitioner Nurses in Bonaire, GA

Patience Chinenye Okolo, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 774 Ga Hwy 96, Bonaire, GA 31005 Phone: 478-988-5711
Mrs. Laquita Charle Johnson, NP Nurse Practitioner Medicare: May Accept Medicare Assignments Practice Location: 101 Southshore Ct, Bonaire, GA 31005 Phone: 229-712-8884
Shelby Giles, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 127 Old Highway 96 Ste B, Bonaire, GA 31005 Phone: 478-352-7143
Ms. Roneseya Bentley Williams, NP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 106 Moran Dr, Bonaire, GA 31005 Phone: 478-988-1282 Fax: 478-988-3120
Karena Collins, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 104 Wildwood Trl, Bonaire, GA 31005 Phone: 479-957-8013
Jessica Ann Smith, AGPCNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 105 Donna Kay Ct, Bonaire, GA 31005 Phone: 478-220-1707

Stacey Favre Renner, APRN - Medicare Nurse Practitioner in Bonaire, GA