Ma Liza Acaso Limoran, in Stone Mountain, GA - Medicare Physician Assistant

Ma Liza Acaso Limoran, is a medicare enrolled "Physician Assistant" in Stone Mountain, Georgia. Her current practice location is 5674 Memorial Dr, Stone Mountain, Georgia. You can reach out to her office (for appointments etc.) via phone at (770) 322-6161.

Ma Liza Acaso Limoran is licensed to practice in Georgia (license number 12366) 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 1790409621.

Contact Information

	Ma Liza Acaso Limoran,
	5674 Memorial Dr, Stone Mountain, GA 30083-3254
	(770) 322-6161
	(770) 322-6161

Map and Direction

Provider's Profile

Full Name	Ma Liza Acaso Limoran
Gender	Female
Speciality	Physician Assistant
Location	5674 Memorial Dr, Stone Mountain, Georgia
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1790409621
Provider Enumeration Date: 10/04/2022
Last Update Date: 07/31/2025

Medicare PECOS Information:

PECOS PAC ID: 2264967744
Enrollment ID: I20241120002372

Medical Identifiers

Medical identifiers for Ma Liza Acaso Limoran such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1790409621	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363A00000X	Physician Assistant	(* (Not Available))	Secondary
363A00000X	Physician Assistant	12366 (Georgia)	Primary

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. Ma Liza Acaso Limoran 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
Ma Liza Acaso Limoran, 1017 Windsor Dr, Monroe, GA 30656-4791 Ph: (770) 885-8980	Ma Liza Acaso Limoran, 5674 Memorial Dr, Stone Mountain, GA 30083-3254 Ph: (770) 322-6161

Reviews and Comments

Physician Assistant Nurses in Stone Mountain, GA

Markebba Shiray Skylark, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1192a Rockbridge Rd, Stone Mountain, GA 30087 Phone: 770-925-2010
Mrs. Djifa Richards Jones, PA C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 2240 W Park Place Blvd, Ste A, Stone Mountain, GA 30087 Phone: 678-722-8464
Kanani Daniels Floyd, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1805 Parke Plaza Cir, Suite 101, Stone Mountain, GA 30087 Phone: 770-469-7000 Fax: 770-879-0436
Carla N Cooke, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 1805 Parke Plaza Cir, Suite 101, Stone Mountain, GA 30087 Phone: 770-469-7000 Fax: 770-879-0436
Francine S Nkoy, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1192 Rockbridge Rd Ste A, Stone Mountain, GA 30087 Phone: 770-925-2010 Fax: 770-925-1665
Maura Mchugh Barrett, PAC Physician Assistant Medicare: Medicare Enrolled Practice Location: 1805 Parke Plaza Cir Ste 103, Stone Mountain, GA 30087 Phone: 770-498-9355
Seyed Mansour Jazayeri, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 833 N Hairston Rd, Stone Mountain, GA 30083 Phone: 770-879-5553

Ma Liza Acaso Limoran, - Medicare Physician Assistant in Stone Mountain, GA