Fatoumata Diariou Kourouma, FNP is a medicare enrolled "Nurse Practitioner - Family" physician in Bethlehem, Georgia. She graduated from medical school in 2022 and has 3 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Piedmont Athens Primary Care Llc and her current practice location is
340 Exchange Blvd Ste 120, Bethlehem, Georgia. You can reach out to her office (for appointments etc.) via phone at
(678) 963-7300.
Fatoumata Diariou Kourouma is licensed to practice in Georgia (license number RN297468) 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 1477230159.
Physician's Profile
| Full Name | Fatoumata Diariou Kourouma |
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| Gender | Female |
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| Speciality | Nurse Practitioner |
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| Experience | 3 Years |
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| Location | 340 Exchange Blvd Ste 120, Bethlehem, 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:
- Fatoumata Diariou Kourouma graduated from medical school in 2022
NPI Data:
- NPI Number: 1477230159
- Provider Enumeration Date: 07/03/2023
- Last Update Date: 01/15/2025
Medicare PECOS Information:
- PECOS PAC ID: 9436689411
- Enrollment ID: I20250205003092
Medical Identifiers
Medical identifiers for Fatoumata Diariou Kourouma such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1477230159 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 207Q00000X | Family Medicine | RN297468 (Georgia) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | RN297468 (Georgia) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
| Piedmont Athens Primary Care Llc | 0648520841 | 69 |
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. Fatoumata Diariou Kourouma allows following entities to bill medicare on her behalf.
| Entity Name | Piedmont Medical Care Corporation |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1912956046 PECOS PAC ID: 6002802220 Enrollment ID: O20040422001500 |
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| Entity Name | Piedmont Athens Primary Care Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1245746783 PECOS PAC ID: 0648520841 Enrollment ID: O20180910002202 |
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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. Fatoumata Diariou Kourouma 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 |
Fatoumata Diariou Kourouma, FNP 447 Dunaway Ct, Grayson, GA 30017-2201 Ph: (203) 500-7823 | Fatoumata Diariou Kourouma, FNP 340 Exchange Blvd Ste 120, Bethlehem, GA 30620-1759 Ph: (678) 963-7300 |
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