Rae A King, MD is a medicare enrolled "Ophthalmology" physician in Kennesaw, Georgia. She went to Rush Medical College Of Rush University and graduated in 1998 and has 28 years of diverse experience with area of expertise as Ophthalmology. She is a member of the group practice The Southeast Permanente Medical Group and her current practice location is
750 Townpark Ln Nw, Kennesaw, Georgia. You can reach out to her office (for appointments etc.) via phone at
(770) 514-5500.
Rae A King is licensed to practice in Georgia (license number 053319) 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 1750383691.
Physician's Profile
| Full Name | Rae A King |
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| Gender | Female |
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| Speciality | Ophthalmology |
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| Experience | 28 Years |
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| Location | 750 Townpark Ln Nw, Kennesaw, 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. |
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Medical Education and Training:
- Rae A King attended and graduated from Rush Medical College Of Rush University in 1998
NPI Data:
- NPI Number: 1750383691
- Provider Enumeration Date: 08/11/2005
- Last Update Date: 01/13/2022
Medicare PECOS Information:
- PECOS PAC ID: 2466442744
- Enrollment ID: I20040518000096
Medical Identifiers
Medical identifiers for Rae A King such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1750383691 | NPI | - | NPPES |
| 593568511N | Medicaid | GA | |
| 593568511L | Medicaid | GA | |
| 593568511K | Medicaid | GA | |
| 593568511O | Medicaid | GA | |
| 593568511M | Medicaid | GA | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207W00000X | Ophthalmology | 053319 (Georgia) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| The Southeast Permanente Medical Group | 6204829013 | 823 |
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. Rae A King allows following entities to bill medicare on her behalf.
| Entity Name | The Southeast Permanente Medical Group |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1245266956
PECOS PAC ID: 6204829013
Enrollment ID: O20040407000370 |
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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. Rae A King 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 |
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Rae A King, MD
3495 Piedmont Rd Ne,
Atlanta, GA 30305-1717
Ph: (404) 364-7285 | Rae A King, MD
750 Townpark Ln Nw,
Kennesaw, GA 30144-5579
Ph: (770) 514-5500 |
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