Dr Agegnehu Tilahun Gebreyes, MD is a medicare enrolled "Hospitalist" physician in Smyrna, Georgia. His current practice location is
3932 Covey Flush Ct Sw, Smyrna, Georgia. You can reach out to his office (for appointments etc.) via phone at
(202) 379-5463.
Dr Agegnehu Tilahun Gebreyes is licensed to practice in Georgia (license number 070889) 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 1124257845.
Physician's Profile
| Full Name | Dr Agegnehu Tilahun Gebreyes |
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| Gender | Male |
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| Speciality | Hospitalist |
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| Location | 3932 Covey Flush Ct Sw, Smyrna, Georgia |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1124257845
- Provider Enumeration Date: 07/02/2009
- Last Update Date: 02/27/2016
Medicare PECOS Information:
- PECOS PAC ID: 6204092570
- Enrollment ID: I20140606001709
Medical Identifiers
Medical identifiers for Dr Agegnehu Tilahun Gebreyes such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1124257845 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 207R00000X | Internal Medicine | D73656 (Maryland) | Secondary |
| 207R00000X | Internal Medicine | 070889 (Georgia) | Secondary |
| 208M00000X | Hospitalist | 070889 (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. Dr Agegnehu Tilahun Gebreyes allows following entities to bill medicare on his behalf.
| Entity Name | 24 On Physicians Pc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1912956251
PECOS PAC ID: 5698688141
Enrollment ID: O20031216000444 |
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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. Dr Agegnehu Tilahun Gebreyes 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 |
|---|
Dr Agegnehu Tilahun Gebreyes, MD
8954 Hospital Drive,
Douglas, GA 30134
Ph: (678) 838-2585 | Dr Agegnehu Tilahun Gebreyes, MD
3932 Covey Flush Ct Sw,
Smyrna, GA 30082-3558
Ph: (202) 379-5463 |
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