Antwan Londell Treadway, DMD in Austell, GA - Medicare Oral Surgery Provider

Antwan Londell Treadway, DMD is a medicare enrolled "Dentist - Oral And Maxillofacial Surgery" provider in Austell, Georgia. He graduated from medical school in 1993 and has 31 years of diverse experience with area of expertise as Oral Surgery. He is a member of the group practice Atlanta Oral And Facial Surgery Llc and his current practice location is 1790 Mulkey Rd, Suite 3a, Austell, Georgia. You can reach out to his office (for appointments etc.) via phone at (770) 941-2476.

Antwan Londell Treadway is licensed to practice in Georgia (license number 12209) and he also participates in the medicare program. He may accept medicare assignments (which means he may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance) and his NPI Number is 1972616878.

Contact Information

	Antwan Londell Treadway, DMD
	1790 Mulkey Rd, Suite 3a, Austell, GA 30106-1122
	(770) 941-2476
	(770) 941-5710

Map and Direction

Healthcare Provider's Profile

Full Name	Antwan Londell Treadway
Gender	Male
Speciality	Oral Surgery
Experience	31 Years
Location	1790 Mulkey Rd, Austell, Georgia
Accepts Medicare Assignments	May be. He may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance.

Medical Education and Training:

Antwan Londell Treadway graduated from medical school in 1993

NPI Data:

NPI Number: 1972616878
Provider Enumeration Date: 08/16/2006
Last Update Date: 07/08/2007

Medicare PECOS Information:

PECOS PAC ID: 8820177793
Enrollment ID: I20080502000517

Medical Identifiers

Medical identifiers for Antwan Londell Treadway such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1972616878	NPI	-	NPPES
000849439B	Medicaid	GA
000849439C	Medicaid	GA

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1223S0112X	Dentist - Oral And Maxillofacial Surgery	12209 (Georgia)	Primary
1223S0112X	Dentist - Oral And Maxillofacial Surgery	DN13765 (Florida)	Secondary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Atlanta Oral And Facial Surgery Llc	8628062387	19

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. Antwan Londell Treadway allows following entities to bill medicare on his behalf.

Entity Name	Atlanta Oral & Facial Surgery Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1992738165 PECOS PAC ID: 8628062387 Enrollment ID: O20040414000589

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. Antwan Londell Treadway 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
Antwan Londell Treadway, DMD 1790 Mulkey Rd, Suite 3a, Austell, GA 30106-1122 Ph: (770) 941-2476	Antwan Londell Treadway, DMD 1790 Mulkey Rd, Suite 3a, Austell, GA 30106-1122 Ph: (770) 941-2476

Reviews and Comments

Dentist in Austell, GA

Martin Boeckh, Dentist Medicare: Not Enrolled in Medicare Practice Location: 3845 Medical Park Dr, Austell, GA 30106 Phone: 770-739-2100 Fax: 850-837-2042
Mohammed Dameri, Dentist Medicare: Medicare Enrolled Practice Location: 1790 Mulkey Rd Ste 2, Austell, GA 30106 Phone: 770-800-5500
Oluwatoyin Abosede Oresanya, Dentist Medicare: Medicare Enrolled Practice Location: 1680 E West Connector Ste 112, Austell, GA 30106 Phone: 770-742-6330
Dr. Travis Shaw Watson, D.M.D. Dentist Medicare: Medicare Enrolled Practice Location: 1599 Mulkey Rd, Austell, GA 30106 Phone: 770-941-6979 Fax: 770-732-6292
Dr. Chante Marshaun Parker, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 1680 E West Connector Ste 112, Austell, GA 30106 Phone: 770-742-6330
Dr. Arlita D Jackson, D.M.D. Dentist Medicare: Not Enrolled in Medicare Practice Location: 1790 Mulkey Rd, Bldg 4, Austell, GA 30106 Phone: 770-739-4400 Fax: 770-739-9077
Jon H Haynes, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 1680 Mulkey Rd, Suite F, Austell, GA 30106 Phone: 770-941-8185 Fax: 770-941-8185

Antwan Londell Treadway, DMD - Medicare Dentist in Austell, GA