Diane Leigh Wisebram, MD in Atlanta, GA - Medicare Internal Medicine

Diane Leigh Wisebram, MD is a medicare enrolled "Internal Medicine - Gastroenterology" physician in Atlanta, Georgia. Her current practice location is 980 Johnson Ferry Rd Ne, Suite 820, Atlanta, Georgia. You can reach out to her office (for appointments etc.) via phone at (404) 252-9307.

Diane Leigh Wisebram is licensed to practice in Georgia (license number 022195) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1518927110.

Contact Information

	Diane Leigh Wisebram, MD
	980 Johnson Ferry Rd Ne, Suite 820, Atlanta, GA 30342-1626
	(404) 252-9307
	(404) 252-5839

Map and Direction

Physician's Profile

Full Name	Diane Leigh Wisebram
Gender	Female
Speciality	Internal Medicine - Gastroenterology
Location	980 Johnson Ferry Rd Ne, Atlanta, Georgia
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1518927110
Provider Enumeration Date: 03/27/2006
Last Update Date: 01/10/2014

Medicare PECOS Information:

PECOS PAC ID: 7315953262
Enrollment ID: I20100506000899

Medical Identifiers

Medical identifiers for Diane Leigh Wisebram such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1518927110	NPI	-	NPPES
CB5609	Other		RRMEDICARE

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207RG0100X	Internal Medicine - Gastroenterology	022195 (Georgia)	Primary

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. Diane Leigh Wisebram allows following entities to bill medicare on her behalf.

Entity Name	Aga Professional Services Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1063799120 PECOS PAC ID: 3870768997 Enrollment ID: O20111219000311

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. Diane Leigh Wisebram 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
Diane Leigh Wisebram, MD 550 Peachtree St Ne, Suite 1600, Atlanta, GA 30308-2208 Ph: (404) 881-1099	Diane Leigh Wisebram, MD 980 Johnson Ferry Rd Ne, Suite 820, Atlanta, GA 30342-1626 Ph: (404) 252-9307

Reviews and Comments

Internal Medicine Doctors in Atlanta, GA

Khadeja Jamilia Johnson, M.D. Gastroenterology Medicare: Accepting Medicare Assignments Practice Location: 1800 Howell Mill Rd Nw Ste 275, Atlanta, GA 30318 Phone: 404-756-1290
Dr. Matthew J. Wilson, M.D. Gastroenterology Medicare: Accepting Medicare Assignments Practice Location: 755 Mt Vernon Hwy, Suite 530, Atlanta, GA 30328 Phone: 404-252-7970 Fax: 404-250-0553
Kajal Patel, M.D, M.P.H Gastroenterology Medicare: Accepting Medicare Assignments Practice Location: 1525 Clifton Rd Ne, Atlanta, GA 30322 Phone: 404-778-2700
Dr. Earl Stewart Jr., M.D. Gastroenterology Medicare: Accepting Medicare Assignments Practice Location: 2850 Paces Ferry Rd Se Ste 460, Atlanta, GA 30339 Phone: 678-556-4950
Mary E. Bergh, MD Gastroenterology Medicare: Accepting Medicare Assignments Practice Location: 980 Johnson Ferry Rd Ste 520, Atlanta, GA 30342 Phone: 404-303-3320 Fax: 404-303-3464
John J Doran, M.D. Gastroenterology Medicare: Accepting Medicare Assignments Practice Location: 1365 Clifton Rd Ne Bldg A, The Emory Clinic - Nephrology, Atlanta, GA 30322 Phone: 404-778-5380
Frank A Anania, M.D. Gastroenterology Medicare: Not Enrolled in Medicare Practice Location: 1365 Clifton Rd Ne Ste B1266, The Emory Clinic - Gastroenterology, Atlanta, GA 30322 Phone: 404-778-3184

Diane Leigh Wisebram, MD - Medicare Internal Medicine in Atlanta, GA