Dr Kerese Downer, MD - Medicare Family Medicine in Bethlehem, GA

Dr Kerese Downer, MD is a medicare enrolled "Family Medicine" physician in Bethlehem, Georgia. Her current practice location is 426 Exchange Blvd Ste 600, Bethlehem, Georgia. You can reach out to her office (for appointments etc.) via phone at (770) 868-5186.

Dr Kerese Downer is licensed to practice in Georgia (license number 99009) 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 1932786050.

Contact Information

Dr Kerese Downer, MD
426 Exchange Blvd Ste 600,
Bethlehem, GA 30620-1794
(770) 868-5186
Not Available

Map and Direction




Physician's Profile

Full NameDr Kerese Downer
GenderFemale
SpecialityFamily Medicine
Location426 Exchange Blvd Ste 600, Bethlehem, Georgia
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1932786050
  • Provider Enumeration Date: 03/25/2021
  • Last Update Date: 11/25/2024
  Medicare PECOS Information:
  • PECOS PAC ID: 0244631349
  • Enrollment ID: I20240702002629

Medical Identifiers

Medical identifiers for Dr Kerese Downer such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1932786050NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine 99009 (Georgia)Primary
390200000XStudent In An Organized Health Care Education/training Program (* (Not Available))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. Dr Kerese Downer allows following entities to bill medicare on her behalf.
Entity NameNortheast Georgia Physicians Group Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1891745212
PECOS PAC ID: 6901898386
Enrollment ID: O20040402001277

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 Kerese Downer 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 AddressPractice Location Address
Dr Kerese Downer, MD
Po Box 742616,
Atlanta, GA 30374-2616

Ph: (770) 219-8420
Dr Kerese Downer, MD
426 Exchange Blvd Ste 600,
Bethlehem, GA 30620-1794

Ph: (770) 868-5186

Reviews and Comments


Family Medicine Doctors in Bethlehem, GA

Wezyann Gayle, MD
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Practice Location: 916 Loganville Hwy, 350, Bethlehem, GA 30620
Phone: 770-791-0167    Fax: 770-791-0169
Dr. Calvin Morgan Terrelonge, M.D.
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Practice Location: 426 Exchange Blvd Ste 600, Bethlehem, GA 30620
Phone: 770-868-5186    
Mrs. Ashley Eppinger, NP
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Practice Location: 340 Exchange Blvd Ste 120, Bethlehem, GA 30620
Phone: 678-963-7300    
Fatoumata Diariou Kourouma, FNP
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Medicare: Not Enrolled in Medicare
Practice Location: 340 Exchange Blvd Ste 120, Bethlehem, GA 30620
Phone: 678-963-7300    
Dr. Michael K Sopt, M.D.
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Medicare: Accepting Medicare Assignments
Practice Location: 340 Exchange Blvd Ste 120, Bethlehem, GA 30620
Phone: 678-963-7300    
Dr. Hawwa Sharif Frazier, DO
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 340 Exchange Blvd Ste 120, Bethlehem, GA 30620
Phone: 678-963-7300    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.