Altelisha Lanae Taylor, MD in Atlanta, GA

Altelisha Lanae Taylor, MD is a medicare enrolled "Family Medicine - Sports Medicine" physician in Atlanta, Georgia. Her current practice location is 455 Lee St Sw Fl 2, Atlanta, Georgia. You can reach out to her office (for appointments etc.) via phone at (404) 756-1241.

Altelisha Lanae Taylor is licensed to practice in Georgia (license number 11034) 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 1093277899.

Contact Information

	Altelisha Lanae Taylor, MD
	455 Lee St Sw Fl 2, Atlanta, GA 30310-1408
	(404) 756-1241
	Not Available

Map and Direction

Physician's Profile

Full Name	Altelisha Lanae Taylor
Gender	Female
Speciality	Family Medicine - Sports Medicine
Location	455 Lee St Sw Fl 2, Atlanta, Georgia
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1093277899
Provider Enumeration Date: 04/02/2019
Last Update Date: 06/28/2023

Medicare PECOS Information:

PECOS PAC ID: 1850776782
Enrollment ID: I20220913003831

Medical Identifiers

Medical identifiers for Altelisha Lanae Taylor such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1093277899	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207QS0010X	Family Medicine - Sports Medicine	A178138 (California)	Secondary
390200000X	Student In An Organized Health Care Education/training Program	(* (Not Available))	Secondary
207QS0010X	Family Medicine - Sports Medicine	11034 (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. Altelisha Lanae Taylor allows following entities to bill medicare on her behalf.

Entity Name	Regents Of The University Of California
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1528179793 PECOS PAC ID: 2062312291 Enrollment ID: O20040112000584

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. Altelisha Lanae Taylor 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
Altelisha Lanae Taylor, MD 455 Lee St Sw Fl 2, Atlanta, GA 30310-1408 Ph: () -	Altelisha Lanae Taylor, MD 455 Lee St Sw Fl 2, Atlanta, GA 30310-1408 Ph: (404) 756-1241

Reviews and Comments

Family Medicine Doctors in Atlanta, GA

Fidelia O Osinubi, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 3885 Princeton Lakes Way, Suite 402, Atlanta, GA 30331 Phone: 404-349-0496 Fax: 404-349-6081
Theresa R Jacobs, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 868 York Ave Sw, Atlanta, GA 30310 Phone: 404-752-1400 Fax: 404-758-0740
David M Williams, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1046 Ridge Ave Sw, Atlanta, GA 30315 Phone: 404-688-1350 Fax: 404-564-6734
Tony Serrano-padin, M.D. Family Medicine Medicare: Medicare Enrolled Practice Location: 1701 Hardee Ave. Sw, Bldg 125, Fort Mcpherson - Army Health Clinic, Atlanta, GA 30330 Phone: 404-464-0389
Dr. Bhavi Patel Purohit, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 720 Westview Dr Sw, Atlanta, GA 30310 Phone: 404-756-1230 Fax: 404-752-8682
Dr. Edmond Shih, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 5461 Buford Hwy Ne, Atlanta, GA 30340 Phone: 770-457-5556 Fax: 770-457-7776
Zahidul Islam Chowdhury, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 240 N Highland Ave Ne, Suite F, Atlanta, GA 30307 Phone: 404-658-9840 Fax: 404-658-9846

Altelisha Lanae Taylor, MD - Medicare Family Medicine in Atlanta, GA