Dr Natasha Alexis Lisin-queen, DMD - Medicare Dentist in Gainesville, GA

Dr Natasha Alexis Lisin-queen, DMD is a medicare enrolled "Dentist" provider in Gainesville, Georgia. Her current practice location is 592 Medical Park Dr Ste B, Gainesville, Georgia. You can reach out to her office (for appointments etc.) via phone at (678) 498-1441.

Dr Natasha Alexis Lisin-queen is licensed to practice in Georgia (license number DN014359) 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 1902068372.

Contact Information

Dr Natasha Alexis Lisin-queen, DMD
592 Medical Park Dr Ste B,
Gainesville, GA 30501-2055
(678) 498-1441
Not Available

Map and Direction




Healthcare Provider's Profile

Full NameDr Natasha Alexis Lisin-queen
GenderFemale
SpecialityDentist
Location592 Medical Park Dr Ste B, Gainesville, Georgia
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1902068372
  • Provider Enumeration Date: 06/27/2008
  • Last Update Date: 06/09/2026
  Medicare PECOS Information:
  • PECOS PAC ID: 7214210681
  • Enrollment ID: I20170208002748

Medical Identifiers

Medical identifiers for Dr Natasha Alexis Lisin-queen such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1902068372NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
122300000XDentist DN014359 (Georgia)Primary
122300000XDentist DN31461 (Florida)Secondary

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. Dr Natasha Alexis Lisin-queen 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
Dr Natasha Alexis Lisin-queen, DMD
230 Chickering Lake Dr,
Roswell, GA 30075-3278

Ph: (314) 498-9006
Dr Natasha Alexis Lisin-queen, DMD
592 Medical Park Dr Ste B,
Gainesville, GA 30501-2055

Ph: (678) 498-1441

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.