Dr Kenyatta Victoria Dean, DO in Duluth, GA

Dr Kenyatta Victoria Dean, DO is a medicare enrolled "Family Medicine" physician in Duluth, Georgia. She went to New York College Of Osteo Medicine Of New York Institute Of Technology and graduated in 1997 and has 27 years of diverse experience with area of expertise as Family Practice. She is a member of the group practice The Southeast Permanente Medical Group and her current practice location is 3650 Steve Reynolds Blvd, Department Of Internal Medicine Team A, Duluth, Georgia. You can reach out to her office (for appointments etc.) via phone at (770) 931-6011.

Dr Kenyatta Victoria Dean is licensed to practice in Georgia (license number 052265) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1710964440.

Contact Information

	Dr Kenyatta Victoria Dean, DO
	3650 Steve Reynolds Blvd, Department Of Internal Medicine Team A, Duluth, GA 30096-4506
	(770) 931-6011
	Not Available

Map and Direction

Physician's Profile

Full Name	Dr Kenyatta Victoria Dean
Gender	Female
Speciality	Family Practice
Experience	27 Years
Location	3650 Steve Reynolds Blvd, Duluth, Georgia
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Dr Kenyatta Victoria Dean attended and graduated from New York College Of Osteo Medicine Of New York Institute Of Technology in 1997

NPI Data:

NPI Number: 1710964440
Provider Enumeration Date: 12/23/2005
Last Update Date: 01/13/2022

Medicare PECOS Information:

PECOS PAC ID: 5597860114
Enrollment ID: I20070410000389

Medical Identifiers

Medical identifiers for Dr Kenyatta Victoria Dean such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1710964440	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207Q00000X	Family Medicine	052265 (Georgia)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
The Southeast Permanente Medical Group	6204829013	660

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 Kenyatta Victoria Dean 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 Kenyatta Victoria Dean 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 Kenyatta Victoria Dean, DO 3495 Piedmont Rd Ne, Nine Piedmont Center, Atlanta, GA 30305-1717 Ph: (404) 364-7000	Dr Kenyatta Victoria Dean, DO 3650 Steve Reynolds Blvd, Department Of Internal Medicine Team A, Duluth, GA 30096-4506 Ph: (770) 931-6011

Reviews and Comments

Family Medicine Doctors in Duluth, GA

Dr. Daniel Craig Grizzle, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 3650 Steve Reynolds Blvd, Kaiser Permanente Gwinnett Medical Center, Duluth, GA 30096 Phone: 770-931-6220
Dr. Grace Qing Chai, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 3635 Peachtree Industrial Blvd Ste 550, Duluth, GA 30096 Phone: 770-545-8380 Fax: 770-545-8383
Woun Seok, D.O Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 3500 Duluth Park Ln, Suite 220, Duluth, GA 30096 Phone: 678-417-0332
Randy Byron Cronic, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 3660 Howell Ferry Rd, Bldg B, Duluth, GA 30096 Phone: 770-670-4640 Fax: 770-670-4644
Mr. Matthew James Britton, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 5955 State Bridge Road, Suite 240, Duluth, GA 30097 Phone: 770-368-8702 Fax: 770-368-8727
Mallikarjun Samala, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 11085 Callaway Dr, Duluth, GA 30097 Phone: 423-737-0336
Mrs. Noshin Najafi, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 3650 Steve Reynolds Blvd, Kp Medical Center At Gwinnett, Duluth, GA 30096 Phone: 770-931-6220 Fax: 770-931-6035

Dr Kenyatta Victoria Dean, DO - Medicare Family Practice in Duluth, GA