Dr Patrice Leonie Basanta-henry, MD is a medicare enrolled "Obstetrics & Gynecology - Maternal & Fetal Medicine" physician in Lilburn, Georgia. She went to Morehouse School Of Medicine and graduated in 2003 and has 21 years of diverse experience with area of expertise as Obstetrics/gynecology. She is a member of the group practice Pediatrix Medical Group Of Ga, P.c. and her current practice location is
625 Beaver Ruin Rd Nw, Suite D, Lilburn, Georgia. You can reach out to her office (for appointments etc.) via phone at
(770) 279-3838.
Dr Patrice Leonie Basanta-henry is licensed to practice in Georgia (license number 60556) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and 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 |
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Experience | 21 Years |
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Location | 625 Beaver Ruin Rd Nw, Lilburn, Georgia |
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Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Medical Education and Training:
- Dr Patrice Leonie Basanta-henry attended and graduated from Morehouse School Of Medicine in 2003
NPI Data:
- NPI Number: 1144406786
- Provider Enumeration Date: 01/14/2008
- Last Update Date: 11/30/2020
Medicare PECOS Information:
- PECOS PAC ID: 2163508581
- Enrollment ID: I20080326000462
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 |
Group Practice Association
Group Practice Name | Group PECOS PAC ID | No. of Members |
Pediatrix Medical Group Of Ga, P.c. | 7416927447 | 19 |
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. Dr Patrice Leonie Basanta-henry allows following entities to bill medicare on her behalf.
Entity Name | Pediatrix Medical Group Of Ga, P.c. |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1295827574 PECOS PAC ID: 7416927447 Enrollment ID: O20040728000431 |
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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
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 |
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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