Kenyatta Mireku, MD - Medicare Dermatology in Lawrenceville, GA

Kenyatta Mireku, MD is a medicare enrolled "Dermatology" physician in Lawrenceville, Georgia. She went to Medical College Of Georgia School Of Medicine and graduated in 2014 and has 10 years of diverse experience with area of expertise as Dermatology. She is a member of the group practice Advanced Dermatology Of Georgia, Llc and her current practice location is 771 Old Norcross Rd Ste 260, Lawrenceville, Georgia. You can reach out to her office (for appointments etc.) via phone at (770) 962-5040.

Kenyatta Mireku is licensed to practice in Georgia (license number 080834) 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 1740600048.

Contact Information

Kenyatta Mireku, MD
771 Old Norcross Rd Ste 260,
Lawrenceville, GA 30046-4981
(770) 962-5040
(770) 962-5056



Physician's Profile

Full NameKenyatta Mireku
GenderFemale
SpecialityDermatology
Experience10 Years
Location771 Old Norcross Rd Ste 260, Lawrenceville, 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:
  • Kenyatta Mireku attended and graduated from Medical College Of Georgia School Of Medicine in 2014
  NPI Data:
  • NPI Number: 1740600048
  • Provider Enumeration Date: 04/24/2014
  • Last Update Date: 10/02/2018
  Medicare PECOS Information:
  • PECOS PAC ID: 3971819780
  • Enrollment ID: I20180926003098

Medical Identifiers

Medical identifiers for Kenyatta Mireku such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1740600048NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207N00000XDermatology 080834 (Georgia)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Advanced Dermatology Of Georgia, Llc963848578214

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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. Kenyatta Mireku allows following entities to bill medicare on her behalf.
Entity NameAdvanced Dermatology Of Georgia, Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1184005068
PECOS PAC ID: 9638485782
Enrollment ID: O20150903001362

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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. Kenyatta Mireku 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
Kenyatta Mireku, MD
151 Southhall Ln Ste 300,
Maitland, FL 32751-7172

Ph: () -
Kenyatta Mireku, MD
771 Old Norcross Rd Ste 260,
Lawrenceville, GA 30046-4981

Ph: (770) 962-5040

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Dermatology Doctors in Lawrenceville, GA

Abdul Hafeez, MD
Dermatology
Medicare: Accepting Medicare Assignments
Practice Location: 631 Professional Dr Ste 110, Lawrenceville, GA 30046
Phone: 770-682-2500    Fax: 770-682-2014
Kendall Elizabeth Towe, PA-C
Dermatology
Medicare: Not Enrolled in Medicare
Practice Location: 2000 Riverside Pkwy Ste 100, Lawrenceville, GA 30043
Phone: 678-535-0067    
Dr. Jing Feng Gill, MD
Dermatology
Medicare: Accepting Medicare Assignments
Practice Location: 771 Old Norcross Rd, Suite 260, Lawrenceville, GA 30046
Phone: 770-962-5040    Fax: 770-962-5056
Matthew J Reschly, M.D.
Dermatology
Medicare: Medicare Enrolled
Practice Location: 2000 Riverside Pkwy Ste 100, Lawrenceville, GA 30043
Phone: 470-273-7233    
Dr. Jodi D Langer-kaufmann, M.D.
Dermatology
Medicare: Accepting Medicare Assignments
Practice Location: 771 Old Norcross Rd, Suite 260, Lawrenceville, GA 30046
Phone: 770-962-5040    Fax: 770-962-5056
Sharon Staruch-christopher, PA
Dermatology
Medicare: Medicare Enrolled
Practice Location: 771 Old Norcross Rd, Lawrenceville, GA 30046
Phone: 949-276-4141    

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