Latera D Terry, is a medicare enrolled "Physician Assistant" physician in Lawrenceville, Georgia. She graduated from medical school in 2017 and has 7 years of diverse experience with area of expertise as Physician Assistant. She is a member of the group practice Peachtree Immediate Care Fp, Llc and her current practice location is
771 Old Norcross Rd Ste 225, Lawrenceville, Georgia. You can reach out to her office (for appointments etc.) via phone at
(678) 802-4045.
Latera D Terry is licensed to practice in Georgia (license number 8448) 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 1407193014.
Physician's Profile
| Full Name | Latera D Terry |
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| Gender | Female |
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| Speciality | Physician Assistant |
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| Experience | 7 Years |
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| Location | 771 Old Norcross Rd Ste 225, Lawrenceville, 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:
- Latera D Terry graduated from medical school in 2017
NPI Data:
- NPI Number: 1407193014
- Provider Enumeration Date: 01/16/2013
- Last Update Date: 05/10/2024
Medicare PECOS Information:
- PECOS PAC ID: 6204195795
- Enrollment ID: I20180108002345
Medical Identifiers
Medical identifiers for Latera D Terry such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1407193014 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207R00000X | Internal Medicine | 8448 (Georgia) | Secondary |
| 207P00000X | Emergency Medicine | 8448 (Georgia) | Secondary |
| 363A00000X | Physician Assistant | 8448 (Georgia) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Peachtree Immediate Care Fp, Llc | 3274559323 | 251 |
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. Latera D Terry 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 |
|---|
Latera D Terry,
2745 Dekalb Medical Pkwy Ste 200,
Lithonia, GA 30058-4933
Ph: (404) 446-3870 | Latera D Terry,
771 Old Norcross Rd Ste 225,
Lawrenceville, GA 30046-4982
Ph: (678) 802-4045 |
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