Dr Shaveanda L Queen, MD in Stone Mountain, GA

Dr Shaveanda L Queen, MD is a medicare enrolled "Pediatrics" physician in Stone Mountain, Georgia. Her current practice location is 5582 Memorial Dr, Stone Mountain, Georgia. You can reach out to her office (for appointments etc.) via phone at (404) 298-8998.

Dr Shaveanda L Queen is licensed to practice in Georgia (license number 040764) 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 1972600922.

Contact Information

	Dr Shaveanda L Queen, MD
	5582 Memorial Dr, Stone Mountain, GA 30083-3215
	(404) 298-8998
	(404) 298-7658

Map and Direction

Physician's Profile

Full Name	Dr Shaveanda L Queen
Gender	Female
Speciality	Pediatrics
Location	5582 Memorial Dr, Stone Mountain, Georgia
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1972600922
Provider Enumeration Date: 09/20/2006
Last Update Date: 12/15/2014

Medicare PECOS Information:

PECOS PAC ID: 7012171663
Enrollment ID: I20120611000342

Medical Identifiers

Medical identifiers for Dr Shaveanda L Queen such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1972600922	NPI	-	NPPES
000717043D	Medicaid	GA

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208000000X	Pediatrics	040764 (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 Shaveanda L Queen allows following entities to bill medicare on her behalf.

Entity Name	Medcura Health, Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1417011487 PECOS PAC ID: 2961443643 Enrollment ID: O20120509000245

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 Shaveanda L Queen 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 Shaveanda L Queen, MD 5582 Memorial Dr, Stone Mountain, GA 30083-3215 Ph: (404) 298-8998	Dr Shaveanda L Queen, MD 5582 Memorial Dr, Stone Mountain, GA 30083-3215 Ph: (404) 298-8998

Reviews and Comments

Pediatrics Doctors in Stone Mountain, GA

Dr. Edward Marvin Gotlieb, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 5405 Memorial Dr, Building D, Stone Mountain, GA 30083 Phone: 404-296-3800 Fax: 404-297-8753
Stanley M Tenenbaum, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1805 Parke Plaza Cir, Ste 103, Stone Mountain, GA 30087 Phone: 770-498-9355 Fax: 770-498-6294
Sydney Infante, Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 5674 Memorial Dr, Stone Mountain, GA 30083 Phone: 770-322-6161
Dr. Julia Mcmichael, Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1551 Juliette Dr, Stone Mountain, GA 30083 Phone: 678-639-2755
Raymond Rosenberg, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1805 Parke Plaza Cir, Ste 103, Stone Mountain, GA 30087 Phone: 770-498-9355 Fax: 770-498-6294
Winton King, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 4850 Redan Rd, Stone Mountain, GA 30088 Phone: 404-297-1818 Fax: 404-297-1629
Dr. Jaquelin Smith Gotlieb, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 5405 Memorial Dr, Building D, Stone Mountain, GA 30083 Phone: 404-296-3800 Fax: 404-297-8753

Dr Shaveanda L Queen, MD - Medicare Pediatrics in Stone Mountain, GA