Desiree La Charite, MD | |
5665 New Northside Dr Nw, Suite 320, Atlanta, GA 30328-5831 | |
(770) 874-5400 | |
(770) 874-5469 |
Full Name | Desiree La Charite |
---|---|
Gender | Female |
Speciality | Emergency Medicine |
Location | 5665 New Northside Dr Nw, Atlanta, Georgia |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1649246570 | NPI | - | NPPES |
34114500 | Medicaid | WI | |
619228407E | Medicaid | GA | |
6192287407C | Medicaid | GA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207P00000X | Emergency Medicine | 43170 (Wisconsin) | Secondary |
207P00000X | Emergency Medicine | 062132 (Georgia) | Primary |
Entity Name | Northside Emergency Associates, P.c. |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1285686303 PECOS PAC ID: 9335135144 Enrollment ID: O20040426000165 |
Entity Name | South Fulton Emergency Physicians, Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1821043787 PECOS PAC ID: 5294708715 Enrollment ID: O20040813000595 |
Entity Name | The Bortolazzo Group, Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1801965082 PECOS PAC ID: 3476554320 Enrollment ID: O20070122000015 |
Entity Name | Wellstar Medical Group, Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1558664003 PECOS PAC ID: 6709065402 Enrollment ID: O20110127000374 |
Entity Name | Glutality Provider Group Pa |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1083256168 PECOS PAC ID: 9032549837 Enrollment ID: O20200810002292 |
Mailing Address | Practice Location Address |
---|---|
Desiree La Charite, MD 2950 Mount Wilkinson Pkwy Se, #604, Atlanta, GA 30339-3637 Ph: (608) 829-5201 | Desiree La Charite, MD 5665 New Northside Dr Nw, Suite 320, Atlanta, GA 30328-5831 Ph: (770) 874-5400 |
Dr. Benjamin Aaron Levy, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 5665 New Northside Dr Nw, Suite 200, Atlanta, GA 30328 Phone: 770-874-5400 | |
Essi I Peers, D.O. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 5665 New Northside Dr Ste 200, Atlanta, GA 30328 Phone: 770-874-5400 | |
Michael Franczak, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 95 Collier Rd Nw Ste 5015, Atlanta, GA 30309 Phone: 404-605-6517 | |
Dr. Alexander William Kelly, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 1968 Peachtree Rd Nw, Atlanta, GA 30309 Phone: 404-605-5000 | |
Prince N Martin, Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 5665 Peachtree Dunwoody Rd, Atlanta, GA 30342 Phone: 678-843-7001 | |
Melissa H White, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 80 Jesse Hill Jr Dr Se, Atlanta, GA 30303 Phone: 404-616-4307 Fax: 404-616-8022 | |
John H Lloyd, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1358 Middlesex Ave Ne, Atlanta, GA 30306 Phone: 404-944-7563 |