Kathalina Vershelle Lacoste, NP | |
5049 Highland Hills Pkwy, Stone Mountain, GA 30088-3740 | |
(678) 777-5995 | |
Not Available |
Full Name | Kathalina Vershelle Lacoste |
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Gender | Female |
Speciality | Nurse Practitioner - Family |
Location | 5049 Highland Hills Pkwy, Stone Mountain, Georgia |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1255459335 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | 114591 (Georgia) | Primary |
Entity Name | Homestead Palliative Care, Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1750705190 PECOS PAC ID: 3779708649 Enrollment ID: O20140709000892 |
Entity Name | Wellbe Senior Medical Group Of Georgia, P. C. |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1205463163 PECOS PAC ID: 3375972243 Enrollment ID: O20200601002024 |
Entity Name | Creative Hospice Care, Inc. |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1437897956 PECOS PAC ID: 6305942616 Enrollment ID: O20220726002864 |
Entity Name | Homestead Hospice Of Cartersville, Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1538807953 PECOS PAC ID: 3476682659 Enrollment ID: O20220824000608 |
Entity Name | Traditions Hospice Of Lawrenceville Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1336864875 PECOS PAC ID: 4183034382 Enrollment ID: O20221107000064 |
Mailing Address | Practice Location Address |
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Kathalina Vershelle Lacoste, NP 5049 Highland Hills Pkwy, Stone Mountain, GA 30088-3740 Ph: (678) 777-5995 | Kathalina Vershelle Lacoste, NP 5049 Highland Hills Pkwy, Stone Mountain, GA 30088-3740 Ph: (678) 777-5995 |
Mrs. Sherly John, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 4958 Memorial Dr, Stone Mountain, GA 30083 Phone: 404-809-2408 | |
Wendy Woodward Schaal, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 5320 Memorial Dr, Stone Mountain, GA 30083 Phone: 404-508-6499 | |
Roneshia Michelle Rudolph-meadows, FNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 5674 Memorial Dr, Stone Mountain, GA 30083 Phone: 770-322-6161 Fax: 770-322-6191 | |
Julie Noelle Knisely, FNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 5582 Memorial Dr, Stone Mountain, GA 30083 Phone: 404-298-8998 | |
Pauline Kpannah, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 4952 Green Bark Cir E, Stone Mountain, GA 30083 Phone: 678-396-0843 | |
Nikeisha Clevia Oliver, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1227 Rockbridge Rd, Stone Mountain, GA 30087 Phone: 770-413-1476 | |
Andrea Zmaj, MSN, FNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 5674 Memorial Dr, Stone Mountain, GA 30083 Phone: 770-322-6161 |