Ayanna V Buckner, MD - Medicare Preventive Medicine in East Point, GA

Ayanna V Buckner, MD is a medicare enrolled "Preventive Medicine - Public Health & General Preventive Medicine" physician in East Point, Georgia. Her current practice location is 1595 Cleveland Ave, East Point, Georgia. You can reach out to her office (for appointments etc.) via phone at (404) 616-2886.

Ayanna V Buckner is licensed to practice in Georgia (license number 056966) 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 1720059462.

Contact Information

Ayanna V Buckner, MD
1595 Cleveland Ave,
East Point, GA 30344-3200
(404) 616-2886
(404) 209-1769



Physician's Profile

Full NameAyanna V Buckner
GenderFemale
SpecialityPreventive Medicine - Public Health & General Preventive Medicine
Location1595 Cleveland Ave, East Point, Georgia
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1720059462
  • Provider Enumeration Date: 01/31/2006
  • Last Update Date: 10/22/2018
  Medicare PECOS Information:
  • PECOS PAC ID: 2163444845
  • Enrollment ID: I20051221000895

Medical Identifiers

Medical identifiers for Ayanna V Buckner such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1720059462NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
2083P0901XPreventive Medicine - Public Health & General Preventive Medicine 056966 (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. Ayanna V Buckner allows following entities to bill medicare on her behalf.
Entity NameGrady Memorial Hospital Corporation
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1114243813
PECOS PAC ID: 7517032998
Enrollment ID: O20100723000311

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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. Ayanna V Buckner 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
Ayanna V Buckner, MD
80 Jesse Hill Dr Dr Se, Po Box 26042,
Atlanta, GA 30303

Ph: (404) 616-1000
Ayanna V Buckner, MD
1595 Cleveland Ave,
East Point, GA 30344-3200

Ph: (404) 616-2886

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Preventive Medicine Doctors in East Point, GA

Dr. Ramona Ann Minnis, M.D.
Preventive Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 1670 Washington Ave, East Point, GA 30344
Phone: 678-705-1691    Fax: 855-289-7475
Manjushree Ghose, MD
Preventive Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 1595 Cleveland Ave, East Point, GA 30344
Phone: 404-616-2886    Fax: 404-209-1769

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