| Tracy Maureen Lantaff, NP | |
|
4865 Lavista Rd Ste A, Tucker, GA 30084-4436 | |
| (770) 466-5902 | |
| (678) 666-1300 |
| Full Name | Tracy Maureen Lantaff |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 16 Years |
| Location | 4865 Lavista Rd Ste A, Tucker, Georgia |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1225365349 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | RN176566 (Georgia) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Walker Lake Emergency Group Pc | 0840531919 | 24 |
| Entity Name | Southeast Medical Group, P.c. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1235296054 PECOS PAC ID: 3577559673 Enrollment ID: O20040423000347 |
| Entity Name | The Bortolazzo Group, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1801965082 PECOS PAC ID: 3476554320 Enrollment ID: O20070122000015 |
| Entity Name | Houston County Emergency Group, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1013338193 PECOS PAC ID: 2264663756 Enrollment ID: O20140326001461 |
| Entity Name | Walker Lake Emergency Group Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1437629342 PECOS PAC ID: 0840531919 Enrollment ID: O20190418001186 |
| Mailing Address | Practice Location Address |
|---|---|
| Tracy Maureen Lantaff, NP 4300 N Point Pkwy Ste 300, Alpharetta, GA 30022-4102 Ph: () - | Tracy Maureen Lantaff, NP 4865 Lavista Rd Ste A, Tucker, GA 30084-4436 Ph: (770) 466-5902 |
Ms. Dorothy Delisfort-crisostomo, FNP-C Nurse Practitioner Medicare: May Accept Medicare Assignments Practice Location: 4228 1st Ave Ste 1, Tucker, GA 30084 Phone: 833-583-4778 Fax: 833-583-4779 | |
Katrina R Bader, CNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 200 Cres Ctr Pkwy, Department Of Research, Tucker, GA 30084 Phone: 770-496-3770 | |
Nkechi A Saleh, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1479 Brockett Rd Ste 101, Tucker, GA 30084 Phone: 404-625-5427 Fax: 404-508-8944 | |
Mrs. Melanie Noelle Mcmillan, MSN, NP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2260 Northlake Pkwy Ste 211, Tucker, GA 30084 Phone: 770-491-1344 | |
Solina Jinju Chiang, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1468 Montreal Rd, Tucker, GA 30084 Phone: 770-638-1400 | |
Harriett Laschell Allen, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1468 Montreal Rd, Tucker, GA 30084 Phone: 770-638-1400 | |
Dr. Turnisha Monique Carter, PMHNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 3469 Lawrenceville Hwy Ste 103, Tucker, GA 30084 Phone: 770-939-6480 Fax: 770-638-1961 |