Travious Crenshaw, NP in Acworth, GA - Medicare Nurse Practitioner

Travious Crenshaw, NP is a medicare enrolled "Nurse Practitioner - Family" in Acworth, Georgia. His current practice location is 3345 Cobb Pkwy Nw, Acworth, Georgia. You can reach out to his office (for appointments etc.) via phone at (678) 919-7200.

Travious Crenshaw is licensed to practice in Georgia (license number RN226257) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1417760927.

Contact Information

	Travious Crenshaw, NP
	3345 Cobb Pkwy Nw, Acworth, GA 30101-3914
	(678) 919-7200
	Not Available

Map and Direction

Provider's Profile

Full Name	Travious Crenshaw
Gender	Male
Speciality	Nurse Practitioner - Family
Location	3345 Cobb Pkwy Nw, Acworth, Georgia
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1417760927
Provider Enumeration Date: 01/29/2025
Last Update Date: 01/29/2025

Medicare PECOS Information:

PECOS PAC ID: 7416487772
Enrollment ID: I20250217000719

Medical Identifiers

Medical identifiers for Travious Crenshaw such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1417760927	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	RN226257 (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. Travious Crenshaw allows following entities to bill medicare on his behalf.

Entity Name	Wellstreet Of Georgia Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1235411547 PECOS PAC ID: 7517126279 Enrollment ID: O20120315000603

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. Travious Crenshaw 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
Travious Crenshaw, NP 1486 Terrell Mill Rd Se Apt 265, Marietta, GA 30067-6103 Ph: (678) 651-4424	Travious Crenshaw, NP 3345 Cobb Pkwy Nw, Acworth, GA 30101-3914 Ph: (678) 919-7200

Reviews and Comments

Nurse Practitioner Nurses in Acworth, GA

Mrs. Andrea Logan Bossie, MS, RN, CNN, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 4450 Calibre Xing Nw Ste 1126, Acworth, GA 30101 Phone: 470-227-8130 Fax: 470-747-7588
Evelyn Onunka, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1762 Mars Hill Rd Nw, Acworth, GA 30101 Phone: 713-935-0333
Mrs. Jennifer Gayle Carruth, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1762 Mars Hill Rd Nw, Acworth, GA 30101 Phone: 678-732-1500
Aminata Barrie, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 4775 Pastry Ln # 227, Acworth, GA 30101 Phone: 678-357-8171
Teri Pruitt, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 4900 Ivey Rd Nw Ste 1320, Acworth, GA 30101 Phone: 470-267-0870
Jennifer Bush, NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 4550 Cobb Parkway Nw, Acworth, GA 30301 Phone: 470-956-0150
Erika Mendoza-rodriguez, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 6158 Highway 92, Suite 101, Acworth, GA 30102 Phone: 770-928-8450 Fax: 770-928-8452

Travious Crenshaw, NP - Medicare Nurse Practitioner in Acworth, GA