Mrs Quyen Le Ta, NP - Medicare Nurse Practitioner in Kennesaw, GA

Mrs Quyen Le Ta, NP is a medicare enrolled "Nurse Practitioner - Family" in Kennesaw, Georgia. She graduated from nursing school in 2015 and has 9 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Allatoona Physician Services Pc and her current practice location is 2628 Myrtlewood Ln Nw, Kennesaw, Georgia. You can reach out to her office (for appointments etc.) via phone at (404) 324-9413.

Mrs Quyen Le Ta is licensed to practice in Georgia (license number RN211447) 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 1003264250.

Contact Information

Mrs Quyen Le Ta, NP
2628 Myrtlewood Ln Nw,
Kennesaw, GA 30144-7395
(404) 324-9413
Not Available

Map and Direction




Provider's Profile

Full NameMrs Quyen Le Ta
GenderFemale
SpecialityNurse Practitioner
Experience9 Years
Location2628 Myrtlewood Ln Nw, Kennesaw, Georgia
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Mrs Quyen Le Ta graduated from nursing school in 2015
  NPI Data:
  • NPI Number: 1003264250
  • Provider Enumeration Date: 05/28/2016
  • Last Update Date: 05/28/2016
  Medicare PECOS Information:
  • PECOS PAC ID: 3375836265
  • Enrollment ID: I20160729002120

Medical Identifiers

Medical identifiers for Mrs Quyen Le Ta such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1003264250NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LF0000XNurse Practitioner - Family RN211447 (Georgia)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Cartersville Medical CenterCartersville, GAHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Allatoona Physician Services Pc751734257929

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. Mrs Quyen Le Ta allows following entities to bill medicare on her behalf.
Entity NameNorth Atlanta Professional Services Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1316959869
PECOS PAC ID: 0840291944
Enrollment ID: O20070116000197
Entity NameV Physician Services Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1699441162
PECOS PAC ID: 1355748013
Enrollment ID: O20210922001723
Entity NameAllatoona Physician Services Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1497482350
PECOS PAC ID: 7517342579
Enrollment ID: O20220913000203

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. Mrs Quyen Le Ta 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 AddressPractice Location Address
Mrs Quyen Le Ta, NP
2628 Myrtlewood Ln Nw,
Kennesaw, GA 30144-7395

Ph: (404) 324-9413
Mrs Quyen Le Ta, NP
2628 Myrtlewood Ln Nw,
Kennesaw, GA 30144-7395

Ph: (404) 324-9413

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.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.