Don R Connell, MD is a medicare enrolled "Radiology - Diagnostic Radiology" physician in Rincon, Georgia. His current practice location is
112 Lake Tomacheechee Dr, Rincon, Georgia. You can reach out to his office (for appointments etc.) via phone at
(912) 826-7310.
Don R Connell is licensed to practice in Georgia (license number 020680) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1740282003.
Physician's Profile
Full Name | Don R Connell |
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Gender | Male |
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Speciality | Radiology - Diagnostic Radiology |
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Location | 112 Lake Tomacheechee Dr, Rincon, Georgia |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1740282003
- Provider Enumeration Date: 06/01/2005
- Last Update Date: 09/18/2013
Medicare PECOS Information:
- PECOS PAC ID: 8325031560
- Enrollment ID: I20040422000744
Medical Identifiers
Medical identifiers for Don R Connell such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1740282003 | NPI | - | NPPES |
00232889H | Medicaid | GA | |
GRP 2523 | Other | GA | MEDICARE PROVIDER NUMBER |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
2085R0202X | Radiology - Diagnostic Radiology | 020680 (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. Don R Connell allows following entities to bill medicare on his behalf.
Entity Name | South Georgia Radiology Associates Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1760669931 PECOS PAC ID: 0042389231 Enrollment ID: O20080514000110 |
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Entity Name | Privia Medical Group Of Georgia Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1013313857 PECOS PAC ID: 4284951542 Enrollment ID: O20150325000983 |
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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. Don R Connell 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 |
Don R Connell, MD 112 Lake Tomacheechee Dr, Rincon, GA 31326-5117 Ph: (912) 826-7310 | Don R Connell, MD 112 Lake Tomacheechee Dr, Rincon, GA 31326-5117 Ph: (912) 826-7310 |
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