| Dr Fatu Monique Forna, MD | |
|
5440 Hillandale Drive, Kaiser Permanente Panola Medical Center, Lithonia, GA 30058 | |
| (770) 322-2716 | |
| (770) 322-3244 |
| Full Name | Dr Fatu Monique Forna |
|---|---|
| Gender | Female |
| Speciality | Obstetrics/gynecology |
| Experience | 26 Years |
| Location | 5440 Hillandale Drive, Lithonia, Georgia |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1417125493 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207V00000X | Obstetrics & Gynecology | 051937 (Georgia) | Secondary |
| 207V00000X | Obstetrics & Gynecology | ME168411 (Florida) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Mckenzie County Healthcare Systems Inc | 5890768006 | 64 |
| Entity Name | Mercy Medical Center |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1801928593 PECOS PAC ID: 7416851381 Enrollment ID: O20031230000336 |
| Entity Name | Mckenzie County Healthcare Systems Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1063420495 PECOS PAC ID: 5890768006 Enrollment ID: O20040817000016 |
| Entity Name | Mercy Medical Center |
|---|---|
| Entity Type | Part A Provider - Critical Access Hospital |
| Entity Identifiers | NPI Number: 1902824576 PECOS PAC ID: 7416851381 Enrollment ID: O20080307000316 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Fatu Monique Forna, MD 3495 Piedmont Road Ne, Nine Piedmont Center, Atlanta, GA 30305-1736 Ph: (404) 364-7000 | Dr Fatu Monique Forna, MD 5440 Hillandale Drive, Kaiser Permanente Panola Medical Center, Lithonia, GA 30058 Ph: (770) 322-2716 |
Guillermo F Valls, MD Obstetrics & Gynecology Medicare: Medicare Enrolled Practice Location: 5440 Hillandale Dr, Department Of Obstetrics & Gynecology, Lithonia, GA 30058 Phone: 770-322-2716 Fax: 770-322-3244 | |
Mrs. Chineta Rena Eure-miller, MD, MPH Obstetrics & Gynecology Medicare: Medicare Enrolled Practice Location: 5440 Hillandale Drive, Kaiser Permanente Panola Medical Center, Lithonia, GA 30058 Phone: 770-322-2716 Fax: 928-283-2677 | |
Rahul N Joshi, MD Obstetrics & Gynecology Medicare: Medicare Enrolled Practice Location: Department Of Obstetrics & Gynecology, 5440 Hillandale Drive, Lithonia, GA 30058 Phone: 770-322-2716 Fax: 770-322-3244 | |
Dr. Stephanie C Carmichael, MD Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 2745 Dekalb Medical Pkwy Ste 210, Lithonia, GA 30058 Phone: 404-593-2739 Fax: 404-593-2746 | |
Ann M Weathersby, CNM Obstetrics & Gynecology Medicare: Not Enrolled in Medicare Practice Location: 5440 Hillandale Drive, Department Of Obstetrics & Gynecology, Lithonia, GA 30058 Phone: 770-322-2716 Fax: 770-322-3244 | |
Dr. Dominique J. Smith, MD Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 5900 Hillandale Dr Ste 325, Lithonia, GA 30058 Phone: 678-418-6990 Fax: 678-418-6986 |