Coreyonna Durayne Whitehead, NP in Lithonia, GA

Coreyonna Durayne Whitehead, NP is a medicare enrolled "Nurse Practitioner - Family" in Lithonia, Georgia. Her current practice location is 5700 Hillandale Dr Ste 290, Lithonia, Georgia. You can reach out to her office (for appointments etc.) via phone at (678) 367-3212.

Coreyonna Durayne Whitehead is licensed to practice in Georgia (license number 268388) 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 1760111660.

Contact Information

	Coreyonna Durayne Whitehead, NP
	5700 Hillandale Dr Ste 290, Lithonia, GA 30058-4120
	(678) 367-3212
	Not Available

Map and Direction

Provider's Profile

Full Name	Coreyonna Durayne Whitehead
Gender	Female
Speciality	Nurse Practitioner - Family
Location	5700 Hillandale Dr Ste 290, 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: 1760111660
Provider Enumeration Date: 06/07/2022
Last Update Date: 09/25/2023

Medicare PECOS Information:

PECOS PAC ID: 1658755988
Enrollment ID: I20220906000002

Medical Identifiers

Medical identifiers for Coreyonna Durayne Whitehead such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1760111660	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	268388 (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. Coreyonna Durayne Whitehead allows following entities to bill medicare on her behalf.

Entity Name	Grady Memorial Hospital Corporation
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1114243813 PECOS PAC ID: 7517032998 Enrollment ID: O20100723000311

Entity Name	Twelvestone Infusion Centers Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1447764857 PECOS PAC ID: 6800151424 Enrollment ID: O20201006002539

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. Coreyonna Durayne Whitehead 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
Coreyonna Durayne Whitehead, NP 3303 Quarter Horse Ln, Conyers, GA 30013-4400 Ph: (678) 830-6374	Coreyonna Durayne Whitehead, NP 5700 Hillandale Dr Ste 290, Lithonia, GA 30058-4120 Ph: (678) 367-3212

Reviews and Comments

Nurse Practitioner Nurses in Lithonia, GA

Agnes P Oyewo, NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 5440 Hillandale Drive, Kaiser Permanente Panola Medical Office, Lithonia, GA 30058 Phone: 770-322-2777 Fax: 678-610-6025
Ms. Tonecesa Burtton, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 6231 Waterton Way, Lithonia, GA 30058 Phone: 770-462-9202
Ms. Abisola A Ajayi, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 5700 Hillandale Dr, Suite 250, Lithonia, GA 30058 Phone: 770-981-5431 Fax: 770-981-5515
Lenice Murdock-cohen, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 3641 Raiders Ridge Dr, Lithonia, GA 30038 Phone: 404-444-0649
Glory Abuajah, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2801 Dekalb Medical Pkwy, Lithonia, GA 30058 Phone: 404-501-8460
Mr. Simon Njelefack Ekokobe, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1487 Alice Ave, Lithonia, GA 30058 Phone: 404-314-0776
Mrs. Lisa Marie Rose-cantrell, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 5440 Hillandale Drive, Kaiser Permanente Panola Medical Center, Lithonia, GA 30058 Phone: 770-322-3216 Fax: 770-938-1759

Coreyonna Durayne Whitehead, NP - Medicare Nurse Practitioner in Lithonia, GA