2389 WESLEY CHAPEL RD STE 102
DECATUR, GA 30035-2819 US PECOS Enrolled
Donessa Aretha Fraser
Family Medicine Physician
- DECATUR, GA
- Phone: (404)-469-9867
- Last Updated 12/16/2021
Overview
Donessa Aretha Fraser is a Family Medicine Physician in the DECATUR area and has over 26 years of experience. Donessa Aretha Fraser primary office location is at 2389 WESLEY CHAPEL RD STE 102 and new patients are welcome to contact this healthcare provider for an appointment. We do not know where she was educated but we know that she graduated in 1998 The NPI number is 1255561379 and the information was updated approximately 3 years ago.
Donessa Aretha Fraser is affiliated with one medical group in the DECATUR area, CENTERWELL SENIOR PRIMARY CARE GA PC.
We have not detected any Exclusions tied directly to this NPI.
Accepts Medicare Assignment: Unknown
Is sole proprietor: NO
Participates in PECOS: YES (See any PECOS details below)
Contact Information
| License Number | State |
|---|---|
| 31828 | AL |
| 89269 | GA |
| Type/Issuer | Identifier | State |
|---|---|---|
| MEDICAID | 1255561379 | AL |
| Taxonomy | State | Primary? |
|---|---|---|
| Family Medicine Physician - Taxonomy Code 207Q00000X | GA | Y |
| Family Medicine Physician - Taxonomy Code 207Q00000X | AL | N |
PECOS Details:
| Participates in PECOS: | YES |
| PECOS Individual Enrollment ID: | I20210915000112 |
| PECOS Individual PAC ID: | 5698923019 |
| Eligible to order/refer Part B Clinical Laboratory and Imaging | Yes |
| Eligible to order/refer Durable Medical Equipment (DME) | Yes |
| Eligible to order/refer Home Health Agency (HHA) | Yes |
| Eligible to order/refer Power Mobility Devices (PMD) | Yes |
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