Latrice M Hogue, MD is a medicare enrolled "Dermatology - Mohs-micrographic Surgery" physician in Austell, Georgia. 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 does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1295295848.
Physician's Profile
Full Name | Latrice M Hogue |
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Gender | Female |
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Speciality | Dermatology - Mohs-micrographic Surgery |
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Location | 1550 Mulkey Rd, Austell, Georgia |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1295295848
- Provider Enumeration Date: 03/20/2019
- Last Update Date: 02/03/2025
Medicare PECOS Information:
- PECOS PAC ID: 7719149160
- Enrollment ID: I20190702003295
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 |
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 |
207N00000X | Dermatology | 2023-01673 (North Carolina) | 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. 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 298 Sacco St, Belmont, NC 28012-3059 Ph: () - | Latrice M Hogue, MD 1550 Mulkey Rd, Austell, GA 30106-1112 Ph: (770) 732-1137 |
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