Dr Fatu Monique Forna, MD in Lithonia, GA - Medicare Obstetrics & Gynecology

Dr Fatu Monique Forna, MD is a medicare enrolled "Obstetrics & Gynecology" physician in Lithonia, Georgia. Her current practice location is 5440 Hillandale Drive, Kaiser Permanente Panola Medical Center, Lithonia, Georgia. You can reach out to her office (for appointments etc.) via phone at (770) 322-2716.

Dr Fatu Monique Forna is licensed to practice in Georgia (license number 051937) 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 1417125493.

Contact Information

	Dr Fatu Monique Forna, MD
	5440 Hillandale Drive, Kaiser Permanente Panola Medical Center, Lithonia, GA 30058
	(770) 322-2716
	(770) 322-3244

Map and Direction

Physician's Profile

Full Name	Dr Fatu Monique Forna
Gender	Female
Speciality	Obstetrics & Gynecology
Location	5440 Hillandale Drive, Lithonia, Georgia
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1417125493
Provider Enumeration Date: 02/13/2008
Last Update Date: 05/10/2024

Medicare PECOS Information:

PECOS PAC ID: 5496717548
Enrollment ID: I20041101000386

Medical Identifiers

Medical identifiers for Dr Fatu Monique Forna such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1417125493	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207V00000X	Obstetrics & Gynecology	ME168411 (Florida)	Secondary
207V00000X	Obstetrics & Gynecology	051937 (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. Dr Fatu Monique Forna allows following entities to bill medicare on her behalf.

Entity Name	The Southeast Permanente Medical Group
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1245266956 PECOS PAC ID: 6204829013 Enrollment ID: O20040407000370

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. Dr Fatu Monique Forna 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
Dr Fatu Monique Forna, MD 3495 Piedmont Road Ne, Nine Piedmont Center, Atlanta, GA 30305-1736 Ph: (404) 364-7000	Dr Fatu Monique Forna, MD 5440 Hillandale Drive, Kaiser Permanente Panola Medical Center, Lithonia, GA 30058 Ph: (770) 322-2716

Reviews and Comments

Obstetrics & Gynecology Doctors in Lithonia, GA

Guillermo F Valls, MD Obstetrics & Gynecology Medicare: Medicare Enrolled Practice Location: 5440 Hillandale Dr, Department Of Obstetrics & Gynecology, Lithonia, GA 30058 Phone: 770-322-2716 Fax: 770-322-3244
Mrs. Chineta Rena Eure-miller, MD, MPH Obstetrics & Gynecology Medicare: Medicare Enrolled Practice Location: 5440 Hillandale Drive, Kaiser Permanente Panola Medical Center, Lithonia, GA 30058 Phone: 770-322-2716 Fax: 928-283-2677
Dr. Patricia Braz-wright, M.D. Obstetrics & Gynecology Medicare: Not Enrolled in Medicare Practice Location: 4280 Sandstone Shores Dr, Lithonia, GA 30038 Phone: 404-372-4352
Rahul N Joshi, MD Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: Department Of Obstetrics & Gynecology, 5440 Hillandale Drive, Lithonia, GA 30058 Phone: 770-322-2716 Fax: 770-322-3244
Ann M Weathersby, CNM Obstetrics & Gynecology Medicare: Not Enrolled in Medicare Practice Location: 5440 Hillandale Drive, Department Of Obstetrics & Gynecology, Lithonia, GA 30058 Phone: 770-322-2716 Fax: 770-322-3244
Dr. Dominique J. Smith, MD Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 5900 Hillandale Dr Ste 325, Lithonia, GA 30058 Phone: 678-418-6990 Fax: 678-418-6986

Dr Fatu Monique Forna, MD - Medicare Obstetrics & Gynecology in Lithonia, GA