Taheisha Rena Deese, NP is a medicare enrolled "Nurse Practitioner" physician in Fayetteville, Georgia. She graduated from medical school in 2022 and has 3 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Piedmont Providers Llc and her current practice location is
1265 Highway 54 W Ste 305, Fayetteville, Georgia. You can reach out to her office (for appointments etc.) via phone at
(770) 719-5660.
Taheisha Rena Deese is licensed to practice in Georgia (license number RN165350) 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 1205516754.
Physician's Profile
| Full Name | Taheisha Rena Deese |
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| Gender | Female |
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| Speciality | Nurse Practitioner |
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| Experience | 3 Years |
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| Location | 1265 Highway 54 W Ste 305, Fayetteville, 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:
- Taheisha Rena Deese graduated from medical school in 2022
NPI Data:
- NPI Number: 1205516754
- Provider Enumeration Date: 07/20/2023
- Last Update Date: 02/17/2025
Medicare PECOS Information:
- PECOS PAC ID: 0840729778
- Enrollment ID: I20250122002514
Medical Identifiers
Medical identifiers for Taheisha Rena Deese such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1205516754 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 208600000X | Surgery | RN165350 (Georgia) | Secondary |
| 363L00000X | Nurse Practitioner | RN165350 (Georgia) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Piedmont Providers Llc | 9830082825 | 425 |
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. Taheisha Rena Deese allows following entities to bill medicare on her behalf.
| Entity Name | Piedmont Providers Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1548273592
PECOS PAC ID: 9830082825
Enrollment ID: O20040204000321 |
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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. Taheisha Rena Deese 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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Taheisha Rena Deese, NP
155 Buckeye Ln,
Fayetteville, GA 30214-1702
Ph: (229) 425-8130 | Taheisha Rena Deese, NP
1265 Highway 54 W Ste 305,
Fayetteville, GA 30214-4537
Ph: (770) 719-5660 |
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