Dr Mary Tanner, MD - Medicare Pediatrics in Atlanta, GA

Dr Mary Tanner, MD is a medicare enrolled "Pediatrics - Pediatric Infectious Diseases" physician in Atlanta, Georgia. Her current practice location is 1600 Clifton Rd Ne, Atlanta, Georgia. You can reach out to her office (for appointments etc.) via phone at (404) 639-3311.

Dr Mary Tanner is licensed to practice in Missouri (license number 2011009937) 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 1174751549.

Contact Information

Dr Mary Tanner, MD
1600 Clifton Rd Ne,
Atlanta, GA 30329
(404) 639-3311
Not Available

Map and Direction




Physician's Profile

Full NameDr Mary Tanner
GenderFemale
SpecialityPediatrics - Pediatric Infectious Diseases
Location1600 Clifton Rd Ne, Atlanta, Georgia
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1174751549
  • Provider Enumeration Date: 06/24/2009
  • Last Update Date: 05/27/2018
  Medicare PECOS Information:
  • PECOS PAC ID: 1052559457
  • Enrollment ID: I20130524000057

Medical Identifiers

Medical identifiers for Dr Mary Tanner such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1174751549NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
2080P0208XPediatrics - Pediatric Infectious Diseases 2011009937 (Missouri)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 Mary Tanner 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 Mary Tanner, MD
259 Lake Ruby Dr,
Suwanee, GA 30024-2399

Ph: (816) 509-8082
Dr Mary Tanner, MD
1600 Clifton Rd Ne,
Atlanta, GA 30329

Ph: (404) 639-3311

Reviews and Comments


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