Bonnie P Ellenoff, DO in Austell, GA - Medicare Family Practice

Bonnie P Ellenoff, DO is a medicare enrolled "Family Medicine" physician in Austell, Georgia. She graduated from medical school in 1999 and has 25 years of diverse experience with area of expertise as Family Practice. She is a member of the group practice The Southeast Permanente Medical Group and her current practice location is 3640 Tramore Pointe Pkwy, Kaiser Permanente West Cobb Medical Center, Austell, Georgia. You can reach out to her office (for appointments etc.) via phone at (770) 439-4700.

Bonnie P Ellenoff is licensed to practice in Georgia (license number 051644) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1306907001.

Contact Information

	Bonnie P Ellenoff, DO
	3640 Tramore Pointe Pkwy, Kaiser Permanente West Cobb Medical Center, Austell, GA 30106-6825
	(770) 439-4700
	(404) 370-0428

Map and Direction

Physician's Profile

Full Name	Bonnie P Ellenoff
Gender	Female
Speciality	Family Practice
Experience	25 Years
Location	3640 Tramore Pointe Pkwy, Austell, 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.

Medical Education and Training:

Bonnie P Ellenoff graduated from medical school in 1999

NPI Data:

NPI Number: 1306907001
Provider Enumeration Date: 12/13/2006
Last Update Date: 01/13/2022

Medicare PECOS Information:

PECOS PAC ID: 5193734374
Enrollment ID: I20060417000460

Medical Identifiers

Medical identifiers for Bonnie P Ellenoff such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1306907001	NPI	-	NPPES
0009593950	Medicaid	GA

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207Q00000X	Family Medicine	051644 (Georgia)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
The Southeast Permanente Medical Group	6204829013	660

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. Bonnie P Ellenoff allows following entities to bill medicare on her behalf.

Entity Name	The Southeast Permanente Medical Group
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1245266956 PECOS PAC ID: 6204829013 Enrollment ID: O20040407000370

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. Bonnie P Ellenoff 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
Bonnie P Ellenoff, DO 3495 Piedmont Rd Ne, Nine Piedmont Center, Atlanta, GA 30305-1717 Ph: (404) 504-5678	Bonnie P Ellenoff, DO 3640 Tramore Pointe Pkwy, Kaiser Permanente West Cobb Medical Center, Austell, GA 30106-6825 Ph: (770) 439-4700

Reviews and Comments

Family Medicine Doctors in Austell, GA

Jennifer Nicole Garrett, PA-C Family Medicine Medicare: Medicare Enrolled Practice Location: 3825 Medical Park Dr Ste 301, Austell, GA 30106 Phone: 770-874-0692
Rodshawnda D Franklin, MSN, APRN, FNP-C Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 1773 Sweetwater St, Austell, GA 30106 Phone: 770-575-4938
Dr. Erica Judge Edwards, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1790 Mulkey Rd Ste 8a, Austell, GA 30106 Phone: 770-944-1830 Fax: 770-739-0260
Dr. Shin Long Liao, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 3950 Austell Rd, Austell, GA 30106 Phone: 770-732-4010
Dr. Ramon Antonio Arias, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 4320 Flint Hill Rd, Austell, GA 30106 Phone: 770-778-3378 Fax: 770-437-8070
Dr. Thomas Gearhard, M.D Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1790 Mulkey Rd Ste 8a, Austell, GA 30106 Phone: 770-944-1830 Fax: 770-739-0260

Bonnie P Ellenoff, DO - Medicare Family Practice in Austell, GA