Ladeidra Nicole Wooten, RN - Registered Nurse in Loganville, GA

Ladeidra Nicole Wooten, RN is a Registered Nurse - Case Management based in Loganville, Georgia. Ladeidra Nicole Wooten is licensed to practice in Georgia (license number RN243005) and her current practice location is 412 Conyers Rd, Loganville, Georgia. She can be reached at her office (for appointments etc.) via phone at (770) 778-1702.

NPI number for Ladeidra Nicole Wooten is 1912770249 and her current mailing address is 412 Conyers Rd, Loganville, Georgia. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1912770249.

Contact Information

Ladeidra Nicole Wooten, RN
412 Conyers Rd,
Loganville, GA 30052-2650
(770) 778-1702
Not Available

Map and Direction




Provider's Profile

Full NameLadeidra Nicole Wooten
GenderFemale
SpecialityRegistered Nurse - Case Management
Location412 Conyers Rd, Loganville, Georgia
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1912770249
  • Provider Enumeration Date: 10/30/2023
  • Last Update Date: 10/30/2023

Medical Identifiers

Medical identifiers for Ladeidra Nicole Wooten such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1912770249NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
163WM1400XRegistered Nurse - Nurse Massage Therapist (nmt) MT013436 (Georgia)Secondary
163WC0400XRegistered Nurse - Case Management RN243005 (Georgia)Primary

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. Ladeidra Nicole Wooten is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Ladeidra Nicole Wooten, RN
412 Conyers Rd,
Loganville, GA 30052-2650

Ph: (770) 778-1702
Ladeidra Nicole Wooten, RN
412 Conyers Rd,
Loganville, GA 30052-2650

Ph: (770) 778-1702

Reviews and Comments


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Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

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