Dr Latasha Burgess, MD is a medicare enrolled "Family Medicine" physician in Fairburn, Georgia. Her current practice location is
277 Ne Broad St, Fairburn, Georgia. You can reach out to her office (for appointments etc.) via phone at
(770) 892-7802.
Dr Latasha Burgess is licensed to practice in Georgia (license number 049877) 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 1639240765.
Physician's Profile
| Full Name | Dr Latasha Burgess |
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| Gender | Female |
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| Speciality | |
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| Experience | Years |
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| Location | 277 Ne Broad St, Fairburn, Georgia |
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| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Dr Latasha Burgess attended and graduated from in
NPI Data:
- NPI Number: 1639240765
- Provider Enumeration Date: 11/12/2006
- Last Update Date: 09/07/2021
Medicare PECOS Information:
- PECOS PAC ID:
- Enrollment ID:
Medical Identifiers
Medical identifiers for Dr Latasha Burgess such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1639240765 | NPI | - | NPPES |
| 000915846D | Medicaid | GA | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 207Q00000X | Family Medicine | 049877 (Georgia) | Primary |
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 Latasha Burgess 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 Latasha Burgess, MD
277 Ne Broad St,
Fairburn, GA 30213-1474
Ph: (770) 892-7802 | Dr Latasha Burgess, MD
277 Ne Broad St,
Fairburn, GA 30213-1474
Ph: (770) 892-7802 |
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