| Dr Nana Yaa Tackie, MD | |
|
5825 Buford Hwy Ste 300, Norcross, GA 30071-2504 | |
| (770) 209-2787 | |
| Not Available |
| Full Name | Dr Nana Yaa Tackie |
|---|---|
| Gender | Female |
| Speciality | Emergency Medicine |
| Experience | 16 Years |
| Location | 5825 Buford Hwy Ste 300, Norcross, 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 |
|---|---|---|---|
| 1407114291 | NPI | - | NPPES |
| 1407114291 | Medicaid | MN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207P00000X | Emergency Medicine | 106015 (Minnesota) | Secondary |
| 207Q00000X | Family Medicine | 69976 (Georgia) | Secondary |
| 207P00000X | Emergency Medicine | 69976 (Georgia) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Eastside Medical Center | Snellville, GA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Medlife Healthcare Llc | 1557761087 | 5 |
| Acs Primary Care Physicians - Southeast Pc | 5193620714 | 354 |
| Entity Name | Emory Medical Care Foundation Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1063452381 PECOS PAC ID: 4981501814 Enrollment ID: O20031217000968 |
| Entity Name | Acs Primary Care Physicians - Southeast Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1861430555 PECOS PAC ID: 5193620714 Enrollment ID: O20040901000766 |
| Entity Name | Emory Specialty Associates, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1407864168 PECOS PAC ID: 3476559782 Enrollment ID: O20061010000447 |
| Entity Name | Angelfish Emergency Physicians Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1407259500 PECOS PAC ID: 7517282817 Enrollment ID: O20150209000684 |
| Entity Name | Medlife Urgent Care Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1083249114 PECOS PAC ID: 4789005463 Enrollment ID: O20200604002308 |
| Entity Name | Medlife Healthcare Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1558974709 PECOS PAC ID: 1557761087 Enrollment ID: O20210621001050 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Nana Yaa Tackie, MD 1027 Washington Ave, Detroit Lakes, MN 56501-3409 Ph: (218) 847-5611 | Dr Nana Yaa Tackie, MD 5825 Buford Hwy Ste 300, Norcross, GA 30071-2504 Ph: (770) 209-2787 |
Dr. Darren Deandre Naugles, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 6290 Mcdonough Dr Ste D, Norcross, GA 30093 Phone: 770-637-2928 | |
Dr. Ursula Alice Watson, MD Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 6920 Jimmy Carter Blvd Ste 100, Norcross, GA 30071 Phone: 770-449-0990 Fax: 770-448-8818 |