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 North Atlanta Professional Services Llc, 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



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
North Atlanta Professional Services Llc0840291944296
Allatoona Physician Services Pc751734257930

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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. 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

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Entity NameV Physician Services Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1699441162
PECOS PAC ID: 1355748013
Enrollment ID: O20210922001723

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Entity NameAllatoona Physician Services Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1497482350
PECOS PAC ID: 7517342579
Enrollment ID: O20220913000203

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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. 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

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Nurse Practitioner Nurses in Kennesaw, GA

Lisa Vivienne Poling, NP
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 1000 Chastain Rd Nw, Kennesaw, GA 30144
Phone: 678-797-2844    Fax: 678-797-2827
Ms. Tanya S Wilcox, NP
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 1770 Dennis Kemp Ln Nw, Kennesaw, GA 30152
Phone: 770-515-9000    
Mrs. Martricia Meshonna Turner, N.P.
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 3805 Cherokee St Nw, Kennesaw, GA 30144
Phone: 770-426-5666    Fax: 770-426-6205
Ms. Stacey Levison, FNP-C
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 2782 Cobb Pkwy Nw, Kennesaw, GA 30152
Phone: 770-590-8181    
Ms. Kimberly Noel Johnson,
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 1180 Ernest W Barrett Pkwy Nw # 102b, Kennesaw, GA 30144
Phone: 678-354-2273    
Nilomee Patel,
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 2851 Cobb Pkwy Nw Ste 107, Kennesaw, GA 30152
Phone: 770-738-7560    

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