Kawajalein Latic Whitaker, FNP in Loganville, GA

Kawajalein Latic Whitaker, FNP is a medicare enrolled "Nurse Practitioner - Family" in Loganville, Georgia. She graduated from nursing school in 2016 and has 8 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Hospital Physician Services - Southeast Professional Corporation and her current practice location is 101 Tara Commons Dr, Loganville, Georgia. You can reach out to her office (for appointments etc.) via phone at (678) 928-9701.

Kawajalein Latic Whitaker is licensed to practice in Georgia (license number RN224425) 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 1982132171.

Contact Information

	Kawajalein Latic Whitaker, FNP
	101 Tara Commons Dr, Loganville, GA 30052-8018
	(678) 928-9701
	Not Available

Map and Direction

Provider's Profile

Full Name	Kawajalein Latic Whitaker
Gender	Female
Speciality	Nurse Practitioner
Experience	8 Years
Location	101 Tara Commons Dr, Loganville, 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:

Kawajalein Latic Whitaker graduated from nursing school in 2016

NPI Data:

NPI Number: 1982132171
Provider Enumeration Date: 06/01/2017
Last Update Date: 06/01/2017

Medicare PECOS Information:

PECOS PAC ID: 7315298791
Enrollment ID: I20180924003754

Medical Identifiers

Medical identifiers for Kawajalein Latic Whitaker such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1982132171	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	RN224425 (Georgia)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Piedmont Walton Hospital	Monroe, GA	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Hospital Physician Services - Southeast Professional Corporation	5597774554	663

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. Kawajalein Latic Whitaker allows following entities to bill medicare on her behalf.

Entity Name	Acs Primary Care Physicians - Southeast Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1861430555 PECOS PAC ID: 5193620714 Enrollment ID: O20040901000766

Entity Name	Hospital Physician Services - Southeast Professional Corporation
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1760410385 PECOS PAC ID: 5597774554 Enrollment ID: O20060419000545

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. Kawajalein Latic Whitaker 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
Kawajalein Latic Whitaker, FNP 3531 Glen Summit Ln, Snellville, GA 30039-7612 Ph: () -	Kawajalein Latic Whitaker, FNP 101 Tara Commons Dr, Loganville, GA 30052-8018 Ph: (678) 928-9701

Reviews and Comments

Nurse Practitioner Nurses in Loganville, GA

Gopika Naidu, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 155 Lee Byrd Road, Loganville, GA 30052 Phone: 770-466-5902
Jennifer Davis, CPNP-PC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 3815 Harrison Rd, Loganville, GA 30052 Phone: 770-466-6112
Hazuki Choe, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 297 Cooper Rd, Loganville, GA 30052 Phone: 678-381-2630
Lori G Roberts, CPNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 3815 Harrison Rd, Loganville, GA 30052 Phone: 678-527-6000 Fax: 770-466-6201
Patience Emefa Akoto, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 3505 Beaver Swamp Rd, Loganville, GA 30052 Phone: 678-847-8565
Johanne Dastine-coriolan, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 4344 Grove Lake St, Loganville, GA 30052 Phone: 770-696-1350
Mrs. Kimberly Denise Pegues, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3869 Highway 81, Loganville, GA 30052 Phone: 678-635-8650

Kawajalein Latic Whitaker, FNP - Medicare Nurse Practitioner in Loganville, GA