Leslie Isabel Perez, MD is a medicare enrolled "Family Medicine" physician in Senoia, Georgia. Her current practice location is
48 Main St Ste 3a, Senoia, Georgia. You can reach out to her office (for appointments etc.) via phone at
(678) 723-0400.
Leslie Isabel Perez is licensed to practice in Georgia (license number 84321) 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 1780004184.
Physician's Profile
| Full Name | Leslie Isabel Perez |
|---|
| Gender | Female |
|---|
| Speciality | Family Medicine |
|---|
| Location | 48 Main St Ste 3a, Senoia, Georgia |
|---|
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
|---|
NPI Data:
- NPI Number: 1780004184
- Provider Enumeration Date: 04/24/2014
- Last Update Date: 03/20/2023
Medicare PECOS Information:
- PECOS PAC ID: 6901179431
- Enrollment ID: I20170906000859
Medical Identifiers
Medical identifiers for Leslie Isabel Perez such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1780004184 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 207Q00000X | Family Medicine | 4301106164 (Michigan) | Secondary |
| 390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | Secondary |
| 207Q00000X | Family Medicine | 84321 (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. Leslie Isabel Perez allows following entities to bill medicare on her behalf.
| Entity Name | Mercy Memorial Hospital Corporation |
|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
|---|
| Entity Identifiers | NPI Number: 1811097223
PECOS PAC ID: 7012811615
Enrollment ID: O20061212000299 |
|---|
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. Leslie Isabel Perez 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 |
|---|
Leslie Isabel Perez, MD
643 Main St,
Palmetto, GA 30268-1138
Ph: (404) 929-8824 | Leslie Isabel Perez, MD
48 Main St Ste 3a,
Senoia, GA 30276-1895
Ph: (678) 723-0400 |
Reviews and Comments