Dr Lakesha Marie Davison, MD in Snellville, GA

Dr Lakesha Marie Davison, MD is a medicare enrolled "Pediatrics" physician in Snellville, Georgia. Her current practice location is 2240 Fountain Dr, Kaiser Permanente Snellville Medical Center, Snellville, Georgia. You can reach out to her office (for appointments etc.) via phone at (404) 296-7133.

Dr Lakesha Marie Davison is licensed to practice in Georgia (license number 67290) 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 1154565950.

Contact Information

	Dr Lakesha Marie Davison, MD
	2240 Fountain Dr, Kaiser Permanente Snellville Medical Center, Snellville, GA 30078-2919
	(404) 296-7133
	(404) 296-7211

Map and Direction

Physician's Profile

Full Name	Dr Lakesha Marie Davison
Gender	Female
Speciality	Pediatrics
Location	2240 Fountain Dr, Snellville, Georgia
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1154565950
Provider Enumeration Date: 04/23/2009
Last Update Date: 01/10/2022

Medicare PECOS Information:

PECOS PAC ID: 1052574449
Enrollment ID: I20120522001307

Medical Identifiers

Medical identifiers for Dr Lakesha Marie Davison such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1154565950	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208000000X	Pediatrics	003953 (Georgia)	Secondary
208000000X	Pediatrics	67290 (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 Lakesha Marie Davison allows following entities to bill medicare on her behalf.

Entity Name	Emory Medical Care Foundation Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1063452381 PECOS PAC ID: 4981501814 Enrollment ID: O20031217000968

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 Lakesha Marie Davison 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 Lakesha Marie Davison, MD 3495 Piedmont Rd Ne, Nine Piedmont Center, Atlanta, GA 30305-1717 Ph: (404) 504-5678	Dr Lakesha Marie Davison, MD 2240 Fountain Dr, Kaiser Permanente Snellville Medical Center, Snellville, GA 30078-2919 Ph: (404) 296-7133

Reviews and Comments

Pediatrics Doctors in Snellville, GA

Zerah Kenya Gorham, MD Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 1700 Medical Way, Eastside Medical Center, Snellville, GA 30278 Phone: 770-736-2376 Fax: 770-736-2379
Samira Hafsa Belhareth, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 2800 Main St W, Snellville, GA 30078 Phone: 770-979-7213
Muhammad Ali, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 2311 Henry Clower Blvd, Suite D, Snellville, GA 30078 Phone: 770-982-0255 Fax: 770-982-0251
Dr. Sandra Nicole Jackson Dent, M.D. Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 2240 Fountain Dr, Snellville, GA 30078 Phone: 770-978-5000
Thomas M Mahon, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1700 Tree Lane Rd, Ste 110, Snellville, GA 30078 Phone: 770-972-0860 Fax: 770-972-0850
Jennifer Shannon Burrell, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 1700 Tree Ln, Suite 110, Snellville, GA 30078 Phone: 770-972-0812 Fax: 770-972-0850
Melinda A Willingham, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 2321 Henry Clower Blvd Ste A, Snellville, GA 30078 Phone: 404-842-5070 Fax: 626-741-0963

Dr Lakesha Marie Davison, MD - Medicare Pediatrics in Snellville, GA