Taheerah D Demby, FNP in Lawrenceville, GA - Medicare Nurse Practitioner

Taheerah D Demby, FNP is a medicare enrolled "Nurse Practitioner - Family" in Lawrenceville, Georgia. Her current practice location is 2225 Prickly Pear Walk, Lawrenceville, Georgia. You can reach out to her office (for appointments etc.) via phone at (470) 207-1866.

Taheerah D Demby is licensed to practice in Georgia (license number RN232647) 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 1306962436.

Contact Information

	Taheerah D Demby, FNP
	2225 Prickly Pear Walk, Lawrenceville, GA 30043-6344
	(470) 207-1866
	Not Available

Map and Direction

Provider's Profile

Full Name	Taheerah D Demby
Gender	Female
Speciality	Nurse Practitioner - Family
Location	2225 Prickly Pear Walk, Lawrenceville, Georgia
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1306962436
Provider Enumeration Date: 03/21/2007
Last Update Date: 07/03/2024

Medicare PECOS Information:

PECOS PAC ID: 3577707710
Enrollment ID: I20141024001316

Medical Identifiers

Medical identifiers for Taheerah D Demby such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1306962436	NPI	-	NPPES
200849600	Medicaid	IN

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	RN232647 (Georgia)	Primary
363LP0808X	Nurse Practitioner - Psychiatric/mental Health	RN232647 (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. Taheerah D Demby allows following entities to bill medicare on her behalf.

Entity Name	Ivydale Wellness Center
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1659919066 PECOS PAC ID: 0446688030 Enrollment ID: O20200313000571

Entity Name	Grow Healthcare Group Pa
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1245845932 PECOS PAC ID: 3476961368 Enrollment ID: O20220315000829

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. Taheerah D Demby 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
Taheerah D Demby, FNP 2225 Prickly Pear Walk, Lawrenceville, GA 30043-6344 Ph: (219) 201-3215	Taheerah D Demby, FNP 2225 Prickly Pear Walk, Lawrenceville, GA 30043-6344 Ph: (470) 207-1866

Reviews and Comments

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Taheerah D Demby, FNP - Medicare Nurse Practitioner in Lawrenceville, GA