Dr Deanna Mullis Del Mazo, MD in Braselton, GA

Dr Deanna Mullis Del Mazo, MD is a medicare enrolled "Internal Medicine" physician in Braselton, Georgia. Her current practice location is 1270 Friendship Rd, Braselton, Georgia. You can reach out to her office (for appointments etc.) via phone at (770) 535-0191.

Dr Deanna Mullis Del Mazo is licensed to practice in Georgia (license number 068502) 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 1639380298.

Contact Information

	Dr Deanna Mullis Del Mazo, MD
	1270 Friendship Rd, Braselton, GA 30517-5630
	(770) 535-0191
	(770) 535-0916

Map and Direction

Physician's Profile

Full Name	Dr Deanna Mullis Del Mazo
Gender	Female
Speciality	Internal Medicine
Location	1270 Friendship Rd, Braselton, Georgia
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1639380298
Provider Enumeration Date: 05/25/2007
Last Update Date: 04/14/2022

Medicare PECOS Information:

PECOS PAC ID: 4981922028
Enrollment ID: I20150421001611

Medical Identifiers

Medical identifiers for Dr Deanna Mullis Del Mazo such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1639380298	NPI	-	NPPES
003158173B	Medicaid	GA

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207R00000X	Internal Medicine	ME102490 (Florida)	Secondary
207R00000X	Internal Medicine	68502 (Georgia)	Secondary
207R00000X	Internal Medicine	068502 (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 Deanna Mullis Del Mazo 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. Dr Deanna Mullis Del Mazo 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 Deanna Mullis Del Mazo, MD 3495 Piedmont Road, Ne, Nine Piedmont Center, Atlanta, GA 30305 Ph: (404) 364-7070	Dr Deanna Mullis Del Mazo, MD 1270 Friendship Rd, Braselton, GA 30517-5630 Ph: (770) 535-0191

Reviews and Comments

Internal Medicine Doctors in Braselton, GA

Siva Chiranjeevi, MD Internal Medicine Medicare: Medicare Enrolled Practice Location: 1404 River Pl Ste 501, Braselton, GA 30517 Phone: 770-534-2020
Champak Patel, MD Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 5196 Hwy 53, Braselton, GA 30517 Phone: 706-824-9929 Fax: 706-654-9373
Dr. Nima Ghasemzadeh, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1404 River Pl Ste 501, Braselton, GA 30517 Phone: 770-534-2020 Fax: 770-534-8025
Zaid Houfdhi Said, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1404 River Pl Ste 501, Braselton, GA 30517 Phone: 770-534-2020 Fax: 770-534-8025
Dr. Mulualem Yigzaw Teferi, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1400 River Pl, Braselton, GA 30517 Phone: 770-219-6000
Dr. Erum Farooqi, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1270 Friendship Rd, Braselton, GA 30517 Phone: 678-207-4050 Fax: 678-207-4051
Dr. Francisco J Albert, DO Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1400 River Pl, Braselton, GA 30517 Phone: 770-219-9000

Dr Deanna Mullis Del Mazo, MD - Medicare Internal Medicine in Braselton, GA