Latrice M Hogue, MD in Austell, GA - Medicare Dermatology

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.

Contact Information

	Latrice M Hogue, MD
	1550 Mulkey Rd, Austell, GA 30106-1112
	(770) 732-1137
	(770) 732-2081

Map and Direction

Physician's Profile

Full Name	Latrice M Hogue
Gender	Female
Speciality	Dermatology - Mohs-micrographic Surgery
Location	1550 Mulkey Rd, Austell, Georgia
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: 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

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

Dermatology Doctors in Austell, GA

Ms. Lauren I Henderson, M.D. Dermatology Medicare: Medicare Enrolled Practice Location: 1550 Mulkey Rd, Austell, GA 30106 Phone: 707-321-1377 Fax: 770-732-2081
Janice Murphy Warner, MD Dermatology Medicare: Accepting Medicare Assignments Practice Location: 1550 Mulkey Rd, Austell, GA 30106 Phone: 404-446-1440 Fax: 770-732-2081
Kerrie Grunnet Satcher, M.D. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 1550 Mulkey Rd, Austell, GA 30106 Phone: 770-732-1137 Fax: 770-732-2081
Dr. Louis Jack Herskowitz, M.D. Dermatology Medicare: Medicare Enrolled Practice Location: 1790 Mulkey Rd, Suite 1, Austell, GA 30106 Phone: 770-941-1013 Fax: 770-941-9418

Latrice M Hogue, MD - Medicare Dermatology in Austell, GA