Kenyatta Mireku, MD in Lawrenceville, GA

Kenyatta Mireku, MD is a medicare enrolled "Dermatology" physician in Lawrenceville, Georgia. She went to Medical College Of Georgia School Of Medicine and graduated in 2014 and has 10 years of diverse experience with area of expertise as Dermatology. She is a member of the group practice Advanced Dermatology Of Georgia, Llc and her current practice location is 771 Old Norcross Rd Ste 260, Lawrenceville, Georgia. You can reach out to her office (for appointments etc.) via phone at (770) 962-5040.

Kenyatta Mireku is licensed to practice in Georgia (license number 080834) 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 1740600048.

Contact Information

	Kenyatta Mireku, MD
	771 Old Norcross Rd Ste 260, Lawrenceville, GA 30046-4981
	(770) 962-5040
	(770) 962-5056

Map and Direction

Physician's Profile

Full Name	Kenyatta Mireku
Gender	Female
Speciality	Dermatology
Experience	10 Years
Location	771 Old Norcross Rd Ste 260, Lawrenceville, Georgia
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:

Kenyatta Mireku attended and graduated from Medical College Of Georgia School Of Medicine in 2014

NPI Data:

NPI Number: 1740600048
Provider Enumeration Date: 04/24/2014
Last Update Date: 10/02/2018

Medicare PECOS Information:

PECOS PAC ID: 3971819780
Enrollment ID: I20180926003098

Medical Identifiers

Medical identifiers for Kenyatta Mireku such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1740600048	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207N00000X	Dermatology	080834 (Georgia)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Advanced Dermatology Of Georgia, Llc	9638485782	14

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. Kenyatta Mireku allows following entities to bill medicare on her behalf.

Entity Name	Advanced Dermatology Of Georgia, Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1184005068 PECOS PAC ID: 9638485782 Enrollment ID: O20150903001362

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. Kenyatta Mireku 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
Kenyatta Mireku, MD 151 Southhall Ln Ste 300, Maitland, FL 32751-7172 Ph: () -	Kenyatta Mireku, MD 771 Old Norcross Rd Ste 260, Lawrenceville, GA 30046-4981 Ph: (770) 962-5040

Reviews and Comments

Dermatology Doctors in Lawrenceville, GA

Abdul Hafeez, MD Dermatology Medicare: Accepting Medicare Assignments Practice Location: 631 Professional Dr Ste 110, Lawrenceville, GA 30046 Phone: 770-682-2500 Fax: 770-682-2014
Kendall Elizabeth Towe, PA-C Dermatology Medicare: Not Enrolled in Medicare Practice Location: 2000 Riverside Pkwy Ste 100, Lawrenceville, GA 30043 Phone: 678-535-0067
Dr. Jing Feng Gill, MD Dermatology Medicare: Accepting Medicare Assignments Practice Location: 771 Old Norcross Rd, Suite 260, Lawrenceville, GA 30046 Phone: 770-962-5040 Fax: 770-962-5056
Matthew J Reschly, M.D. Dermatology Medicare: Medicare Enrolled Practice Location: 2000 Riverside Pkwy Ste 100, Lawrenceville, GA 30043 Phone: 470-273-7233
Dr. Jodi D Langer-kaufmann, M.D. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 771 Old Norcross Rd, Suite 260, Lawrenceville, GA 30046 Phone: 770-962-5040 Fax: 770-962-5056
Sharon Staruch-christopher, PA Dermatology Medicare: Medicare Enrolled Practice Location: 771 Old Norcross Rd, Lawrenceville, GA 30046 Phone: 949-276-4141

Kenyatta Mireku, MD - Medicare Dermatology in Lawrenceville, GA