Dr Latasha Burgess, MD is a medicare enrolled "Family Medicine" physician in Fairburn, Georgia. She went to Emory University School Of Medicine and graduated in 1998 and has 26 years of diverse experience with area of expertise as Family Practice. 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 | Family Practice |
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Experience | 26 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. |
Medical Education and Training:
- Dr Latasha Burgess attended and graduated from Emory University School Of Medicine in 1998
NPI Data:
- NPI Number: 1639240765
- Provider Enumeration Date: 11/12/2006
- Last Update Date: 09/07/2021
Medicare PECOS Information:
- PECOS PAC ID: 3870502131
- Enrollment ID: I20060413000518
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 |
Medical Facilities Affiliation
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 Latasha Burgess allows following entities to bill medicare on her behalf.
Entity Name | Personal Touch Medical Center, Pc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1275604308 PECOS PAC ID: 3476562612 Enrollment ID: O20060417000158 |
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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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