Latrice M Hogue, MD is a medicare enrolled "Dermatology - Mohs-micrographic Surgery" physician in Austell, Georgia. She went to Wake Forest University School Of Medicine and graduated in 2019 and has 6 years of diverse experience with area of expertise as Dermatology. She is a member of the group practice Atlanta West Deramtology, P.c. and her current practice location is
1550 Mulkey Rd, Austell, Georgia. You can reach out to her office (for appointments etc.) via phone at
(770) 732-1137.
Latrice M Hogue is licensed to practice in Georgia (license number 97905) 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 1295295848.
Physician's Profile
| Full Name | Latrice M Hogue |
|---|
| Gender | Female |
|---|
| Speciality | Dermatology |
|---|
| Experience | 6 Years |
|---|
| Location | 1550 Mulkey Rd, Austell, 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. |
|---|
Medical Education and Training:
- Latrice M Hogue attended and graduated from Wake Forest University School Of Medicine in 2019
NPI Data:
- NPI Number: 1295295848
- Provider Enumeration Date: 03/20/2019
- Last Update Date: 03/04/2025
Medicare PECOS Information:
- PECOS PAC ID: 7719149160
- Enrollment ID: I20241231000926
Medical Identifiers
Medical identifiers for Latrice M Hogue such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1295295848 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 207N00000X | Dermatology | 2023-01673 (North Carolina) | Secondary |
| 207NS0135X | Dermatology - Procedural Dermatology | 2023-01673 (North Carolina) | Secondary |
| 390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | Secondary |
| 207ND0101X | Dermatology - Mohs-micrographic Surgery | 97905 (Georgia) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Atlanta West Deramtology, P.c. | 9638135692 | 4 |
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. Latrice M Hogue allows following entities to bill medicare on her behalf.
| Entity Name | Atlanta West Deramtology, P.c. |
|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
|---|
| Entity Identifiers | NPI Number: 1174680979
PECOS PAC ID: 9638135692
Enrollment ID: O20041202000177 |
|---|
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. Latrice M Hogue 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 |
|---|
Latrice M Hogue, MD
1550 Mulkey Rd,
Austell, GA 30106-1112
Ph: (770) 732-1137 | Latrice M Hogue, MD
1550 Mulkey Rd,
Austell, GA 30106-1112
Ph: (770) 732-1137 |
Reviews and Comments