Dr Patrice Leonie Basanta-henry, MD is a
Obstetrics & Gynecology - Maternal & Fetal Medicine physician based in Lilburn, Georgia. Dr Patrice Leonie Basanta-henry is licensed to practice in Georgia (license number 60556) and her current practice location is 625 Beaver Ruin Rd Nw, Suite D, Lilburn, Georgia. She can be reached at her office (for appointments etc.) via phone at
(770) 279-3838.
NPI number for Dr Patrice Leonie Basanta-henry is 1144406786 and her current mailing address is 625 Beaver Ruin Rd Nw, Suite D, Lilburn, Georgia. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1144406786.
Physician's Profile
| Full Name | Dr Patrice Leonie Basanta-henry |
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| Gender | Female |
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| Speciality | Obstetrics & Gynecology - Maternal & Fetal Medicine |
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| Location | 625 Beaver Ruin Rd Nw, Lilburn, Georgia |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1144406786
- Provider Enumeration Date: 01/14/2008
- Last Update Date: 11/30/2020
Medical Identifiers
Medical identifiers for Dr Patrice Leonie Basanta-henry such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1144406786 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 207VM0101X | Obstetrics & Gynecology - Maternal & Fetal Medicine | 60556 (Georgia) | Primary |
| 207V00000X | Obstetrics & Gynecology | 000368 (Georgia) | 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 Patrice Leonie Basanta-henry is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Dr Patrice Leonie Basanta-henry, MD
625 Beaver Ruin Rd Nw, Suite D,
Lilburn, GA 30047-3401
Ph: (770) 279-3838 | Dr Patrice Leonie Basanta-henry, MD
625 Beaver Ruin Rd Nw, Suite D,
Lilburn, GA 30047-3401
Ph: (770) 279-3838 |
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