Surayyah W Fareed, NPCNM in Decatur, GA - Medicare Nurse Practitioner

Surayyah W Fareed, NPCNM is a medicare enrolled "Nurse Practitioner - Women's Health" in Decatur, Georgia. Her current practice location is 2855 Candler Rd Ste 14, Decatur, Georgia. You can reach out to her office (for appointments etc.) via phone at (404) 243-4433.

Surayyah W Fareed is licensed to practice in Georgia (license number RN092866) 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 1952603201.

Contact Information

	Surayyah W Fareed, NPCNM
	2855 Candler Rd Ste 14, Decatur, GA 30034-1415
	(404) 243-4433
	(404) 243-4449

Map and Direction

Provider's Profile

Full Name	Surayyah W Fareed
Gender	Female
Speciality	Nurse Practitioner - Women's Health
Location	2855 Candler Rd Ste 14, 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: 1952603201
Provider Enumeration Date: 11/18/2010
Last Update Date: 06/08/2013

Medicare PECOS Information:

PECOS PAC ID: 4284815978
Enrollment ID: I20110301000640

Medical Identifiers

Medical identifiers for Surayyah W Fareed such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1952603201	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LW0102X	Nurse Practitioner - Women's Health	RN092866 (Georgia)	Primary
367A00000X	Advanced Practice Midwife	RN092866 (Georgia)	Secondary

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. Surayyah W Fareed allows following entities to bill medicare on her behalf.

Entity Name	Southside Medical Center, Inc.
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1235123993 PECOS PAC ID: 6901700723 Enrollment ID: O20031212000357

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. Surayyah W Fareed 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
Surayyah W Fareed, NPCNM 2855 Candler Rd Ste 14, Decatur, GA 30034-1415 Ph: (404) 243-4433	Surayyah W Fareed, NPCNM 2855 Candler Rd Ste 14, Decatur, GA 30034-1415 Ph: (404) 243-4433

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: Not Enrolled in Medicare Practice Location: 1039 Highland Lake Cir, Decatur, GA 30033 Phone: 513-348-2926
Tammy Vardeman Aguilar, RN, NNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare 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
Ms. Martha J Dorsey, ANPRN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1670 Clairmont Rd, Decatur, GA 30033 Phone: 404-728-7748 Fax: 404-728-7782
Jessica Willis, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2722 N Decatur Rd, Decatur, GA 30033 Phone: 678-467-7598

Surayyah W Fareed, NPCNM - Medicare Nurse Practitioner in Decatur, GA