Tequilla L Pryor, MD in Fayetteville, GA - Medicare Pediatrics

Tequilla L Pryor, MD is a medicare enrolled "Pediatrics" physician in Fayetteville, Georgia. Her current practice location is 101 Yorktown Dr Ste 201, Fayetteville, Georgia. You can reach out to her office (for appointments etc.) via phone at (770) 460-4281.

Tequilla L Pryor is licensed to practice in Georgia (license number 80923) 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 1568807741.

Contact Information

	Tequilla L Pryor, MD
	101 Yorktown Dr Ste 201, Fayetteville, GA 30214-1501
	(770) 460-4281
	(770) 460-4002

Physician's Profile

Full Name	Tequilla L Pryor
Gender	Female
Speciality	Pediatrics
Location	101 Yorktown Dr Ste 201, Fayetteville, Georgia
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1568807741
Provider Enumeration Date: 05/01/2013
Last Update Date: 10/30/2018

Medicare PECOS Information:

PECOS PAC ID: 5597061333
Enrollment ID: I20160304000567

Medical Identifiers

Medical identifiers for Tequilla L Pryor such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1568807741	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208000000X	Pediatrics	0101260570 (Virginia)	Secondary
390200000X	Student In An Organized Health Care Education/training Program	(* (Not Available))	Secondary
208000000X	Pediatrics	80923 (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. Tequilla L Pryor 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
Tequilla L Pryor, MD 101 Yorktown Dr Ste 201, Fayetteville, GA 30214-1501 Ph: (770) 460-4281	Tequilla L Pryor, MD 101 Yorktown Dr Ste 201, Fayetteville, GA 30214-1501 Ph: (770) 460-4281

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Pediatrics Doctors in Fayetteville, GA

Danita A. Stewart, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 288 Highway 314, Suite A, Fayetteville, GA 30214 Phone: 770-460-2131 Fax: 770-460-5011
Jamie F Wallace, Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 735 Glynn St S, Fayetteville, GA 30214 Phone: 770-461-4126 Fax: 770-461-8852
Sara H. Goza, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 101 Yorktown Drive, Suite 200, Fayetteville, GA 30214 Phone: 770-460-4281 Fax: 770-460-4002
Valarie Wright Manley, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 101 Beckett Ln Ste 502, Fayetteville, GA 30214 Phone: 678-817-1000 Fax: 678-817-1001
Karen L. Chaplin, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 288 Highway 314, Suite A, Fayetteville, GA 30214 Phone: 770-460-2131 Fax: 770-460-5011
Eric W Hoffler, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 735 Glynn St S, Fayetteville, GA 30214 Phone: 770-461-4126 Fax: 770-461-8852
Christiana Muntzel, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 101 Yorktown Drive, Suite 200, Fayetteville, GA 30214 Phone: 770-460-4281 Fax: 770-460-4002

Tequilla L Pryor, MD - Medicare Pediatrics in Fayetteville, GA