Lil Five Eyes Llc is a
Health Maintenance Organization based in Atlanta, Georgia. Lil Five Eyes Llc is licensed to practice in Georgia (license number 002600) and their current practice location is
484 Moreland Ave Ne, D Ste, Atlanta, Georgia. It can be reached at their office (for appointments etc.) via phone at
(404) 523-3937.
NPI number for Lil Five Eyes Llc is 1619409729 and their current mailing address is 484 Moreland Ave Ne Ste D, Atlanta, Georgia. Lil Five Eyes Llc
does not participate in medicare program and thus does not accept medicare assignments. The facility's NPI Number is 1619409729.
Healthcare Provider's Profile
Full Name | Lil Five Eyes Llc |
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Type | Facility |
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Speciality | Health Maintenance Organization |
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Location | 484 Moreland Ave Ne, Atlanta, Georgia |
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Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
NPI Data:
- NPI Number: 1619409729
- Provider Enumeration Date: 03/29/2017
- Last Update Date: 06/22/2018
Medical Identifiers
Medical identifiers for Lil Five Eyes Llc such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1619409729 | NPI | - | NPPES |
1619409729 | Medicaid | GA | |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
152W00000X | Optometrist | GA002600 (Georgia) | Secondary |
302R00000X | Health Maintenance Organization | 002600 (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. Lil Five Eyes Llc is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Lil Five Eyes Llc 484 Moreland Ave Ne Ste D, Atlanta, GA 30307-3421 Ph: (404) 523-3937 | Lil Five Eyes Llc 484 Moreland Ave Ne, D Ste, Atlanta, GA 30307 Ph: (404) 523-3937 |
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