Alexander T Gedevanishvili, MD in Lagrange, GA - Medicare Cardiovascular Disease (cardiology)

Alexander T Gedevanishvili, MD is a medicare enrolled "Internal Medicine - Cardiovascular Disease" physician in Lagrange, Georgia. He graduated from medical school in 1988 and has 36 years of diverse experience with area of expertise as Cardiovascular Disease (cardiology). He is a member of the group practice Wellstar Medical Group, Llc and his current practice location is 1602 Vernon Rd Ste 300, Lagrange, Georgia. You can reach out to his office (for appointments etc.) via phone at (706) 242-5100.

Alexander T Gedevanishvili is licensed to practice in Georgia (license number 054099) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1578558714.

Contact Information

	Alexander T Gedevanishvili, MD
	1602 Vernon Rd Ste 300, Lagrange, GA 30240
	(706) 242-5100
	(706) 812-2454

Map and Direction

Physician's Profile

Full Name	Alexander T Gedevanishvili
Gender	Male
Speciality	Cardiovascular Disease (cardiology)
Experience	36 Years
Location	1602 Vernon Rd Ste 300, Lagrange, Georgia
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Alexander T Gedevanishvili graduated from medical school in 1988

NPI Data:

NPI Number: 1578558714
Provider Enumeration Date: 09/14/2005
Last Update Date: 11/05/2019

Medicare PECOS Information:

PECOS PAC ID: 5294720363
Enrollment ID: I20040610000228

Medical Identifiers

Medical identifiers for Alexander T Gedevanishvili such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1578558714	NPI	-	NPPES
192405896A	Medicaid	GA

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207RC0000X	Internal Medicine - Cardiovascular Disease	054099 (Georgia)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Wellstar West Georgia Medical Center	Lagrange, GA	Hospital
Wellstar Kennestone Hospital	Marietta, GA	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Wellstar Medical Group, Llc	6709065402	1917

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. Alexander T Gedevanishvili allows following entities to bill medicare on his behalf.

Entity Name	Wellstar Medical Group, Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1558664003 PECOS PAC ID: 6709065402 Enrollment ID: O20110127000374

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. Alexander T Gedevanishvili 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
Alexander T Gedevanishvili, MD 805 Sandy Plains Road, Medical Staff Services, Marietta, GA 30066-6340 Ph: () -	Alexander T Gedevanishvili, MD 1602 Vernon Rd Ste 300, Lagrange, GA 30240 Ph: (706) 242-5100

Reviews and Comments

Internal Medicine Doctors in Lagrange, GA

Kenneth T Horlander, M.D. Cardiovascular Disease Medicare: Accepting Medicare Assignments Practice Location: Clark-holder Clinic, P.a., 303 Smith Street, Lagrange, GA 30240 Phone: 706-882-8831 Fax: 706-812-4091
Ravina V Kadam, MD Cardiovascular Disease Medicare: Accepting Medicare Assignments Practice Location: 300 Medical Dr Ste 704, Lagrange, GA 30240 Phone: 706-880-7361
Syed Abuzar Waseem Ahmed, Cardiovascular Disease Medicare: Accepting Medicare Assignments Practice Location: 1602 Vernon Rd Ste 400, Lagrange, GA 30240 Phone: 706-882-9341 Fax: 706-884-0131
Mr. Melhim Bou Alwan, M.D. Cardiovascular Disease Medicare: Accepting Medicare Assignments Practice Location: 1514 Vernon Rd, Lagrange, GA 30240 Phone: 706-882-1411 Fax: 706-812-2471
Dr. Ariyo Oluwole Olobatoke, MD Cardiovascular Disease Medicare: Accepting Medicare Assignments Practice Location: 1551 Doctors Dr, Lagrange, GA 30240 Phone: 706-880-7222 Fax: 706-880-7223
Priyesh R Patel, MD Cardiovascular Disease Medicare: Medicare Enrolled Practice Location: 1514 Vernon Rd, Lagrange, GA 30240 Phone: 706-882-1411 Fax: 706-812-2471
Dr. Brad Alan Bowyer, MD Cardiovascular Disease Medicare: Accepting Medicare Assignments Practice Location: 1551 Doctors Dr, Lagrange, GA 30240 Phone: 706-880-7311 Fax: 706-880-7360

Alexander T Gedevanishvili, MD - Medicare Cardiovascular Disease (cardiology) in Lagrange, GA