Tracy D Bland Dubose, MD in Lithonia, GA - Medicare Obstetrics & Gynecology

Tracy D Bland Dubose, MD is a medicare enrolled "Obstetrics & Gynecology" physician in Lithonia, Georgia. Her current practice location is 5440 Hillandale Dr, Department Of Ob Gyn, Lithonia, Georgia. You can reach out to her office (for appointments etc.) via phone at (770) 322-2716.

Tracy D Bland Dubose is licensed to practice in Georgia (license number 052865) 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 1952395535.

Contact Information

	Tracy D Bland Dubose, MD
	5440 Hillandale Dr, Department Of Ob Gyn, Lithonia, GA 30058-4865
	(770) 322-2716
	(770) 322-3244

Map and Direction

Physician's Profile

Full Name	Tracy D Bland Dubose
Gender	Female
Speciality	Obstetrics & Gynecology
Location	5440 Hillandale Dr, Lithonia, Georgia
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1952395535
Provider Enumeration Date: 09/09/2005
Last Update Date: 01/13/2022

Medicare PECOS Information:

PECOS PAC ID: 2769560549
Enrollment ID: I20080418000357

Medical Identifiers

Medical identifiers for Tracy D Bland Dubose such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1952395535	NPI	-	NPPES
994626282A	Medicaid	GA
58-1397572	Other	GA	FEDERAL TAX ID#

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207V00000X	Obstetrics & Gynecology	052865 (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. Tracy D Bland Dubose allows following entities to bill medicare on her behalf.

Entity Name	The Southeast Permanente Medical Group
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1245266956 PECOS PAC ID: 6204829013 Enrollment ID: O20040407000370

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. Tracy D Bland Dubose 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
Tracy D Bland Dubose, MD 3495 Piedmont Rd Ne, Nine Piedmont Center, Atlanta, GA 30305-1717 Ph: (404) 364-7000	Tracy D Bland Dubose, MD 5440 Hillandale Dr, Department Of Ob Gyn, Lithonia, GA 30058-4865 Ph: (770) 322-2716

Reviews and Comments

Obstetrics & Gynecology Doctors in Lithonia, GA

Guillermo F Valls, MD Obstetrics & Gynecology Medicare: Medicare Enrolled Practice Location: 5440 Hillandale Dr, Department Of Obstetrics & Gynecology, Lithonia, GA 30058 Phone: 770-322-2716 Fax: 770-322-3244
Mrs. Chineta Rena Eure-miller, MD, MPH Obstetrics & Gynecology Medicare: Medicare Enrolled Practice Location: 5440 Hillandale Drive, Kaiser Permanente Panola Medical Center, Lithonia, GA 30058 Phone: 770-322-2716 Fax: 928-283-2677
Dr. Patricia Braz-wright, M.D. Obstetrics & Gynecology Medicare: Not Enrolled in Medicare Practice Location: 4280 Sandstone Shores Dr, Lithonia, GA 30038 Phone: 404-372-4352
Dr. Fatu Monique Forna, MD Obstetrics & Gynecology Medicare: Medicare Enrolled Practice Location: 5440 Hillandale Drive, Kaiser Permanente Panola Medical Center, Lithonia, GA 30058 Phone: 770-322-2716 Fax: 770-322-3244
Rahul N Joshi, MD Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: Department Of Obstetrics & Gynecology, 5440 Hillandale Drive, Lithonia, GA 30058 Phone: 770-322-2716 Fax: 770-322-3244
Ann M Weathersby, CNM Obstetrics & Gynecology Medicare: Not Enrolled in Medicare Practice Location: 5440 Hillandale Drive, Department Of Obstetrics & Gynecology, Lithonia, GA 30058 Phone: 770-322-2716 Fax: 770-322-3244
Dr. Dominique J. Smith, MD Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 5900 Hillandale Dr Ste 325, Lithonia, GA 30058 Phone: 678-418-6990 Fax: 678-418-6986

Tracy D Bland Dubose, MD - Medicare Obstetrics & Gynecology in Lithonia, GA