Dr Idi Allen, MD is a medicare enrolled "Pain Medicine - Interventional Pain Medicine" physician in Fayetteville, Georgia. He graduated from medical school in 2004 and has 20 years of diverse experience with area of expertise as Pain Management. He is a member of the group practice North Atlanta Anesthesia Professionals, Llc and his current practice location is
101 Yorktown Dr Ste 211, Fayetteville, Georgia. You can reach out to his office (for appointments etc.) via phone at
(470) 481-2020.
Dr Idi Allen is licensed to practice in Georgia (license number 70849) and he also participates in the medicare program. He
accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1700029402.
Physician's Profile
Full Name | Dr Idi Allen |
---|
Gender | Male |
---|
Speciality | Pain Management |
---|
Experience | 20 Years |
---|
Location | 101 Yorktown Dr Ste 211, Fayetteville, Georgia |
---|
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Medical Education and Training:
- Dr Idi Allen graduated from medical school in 2004
NPI Data:
- NPI Number: 1700029402
- Provider Enumeration Date: 04/09/2009
- Last Update Date: 03/21/2019
Medicare PECOS Information:
- PECOS PAC ID: 2264570126
- Enrollment ID: I20131226000995
Medical Identifiers
Medical identifiers for Dr Idi Allen such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1700029402 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207L00000X | Anesthesiology | 70849 (Georgia) | Secondary |
207LP3000X | Anesthesiology - Pediatric Anesthesiology | 70849 (Georgia) | Secondary |
208VP0000X | Pain Medicine - Pain Medicine | 70849 (Georgia) | Secondary |
208VP0014X | Pain Medicine - Interventional Pain Medicine | 70849 (Georgia) | Primary |
Medical Facilities Affiliation
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 Idi Allen allows following entities to bill medicare on his behalf.
Entity Name | Tmc-west Georgia Anesthesia Associates Inc. |
---|
Entity Type | Part B Supplier - Clinic/group Practice |
---|
Entity Identifiers | NPI Number: 1740252022 PECOS PAC ID: 2365456308 Enrollment ID: O20060130000647 |
---|
Entity Name | Concordia Anesthesiology Inc |
---|
Entity Type | Part B Supplier - Clinic/group Practice |
---|
Entity Identifiers | NPI Number: 1619296464 PECOS PAC ID: 8325172885 Enrollment ID: O20100819000220 |
---|
Entity Name | Progressive Anesthesia Llc |
---|
Entity Type | Part B Supplier - Clinic/group Practice |
---|
Entity Identifiers | NPI Number: 1215225560 PECOS PAC ID: 7618148263 Enrollment ID: O20110912000776 |
---|
Entity Name | Relief Anesthesia Solutions Llc |
---|
Entity Type | Part B Supplier - Clinic/group Practice |
---|
Entity Identifiers | NPI Number: 1942693478 PECOS PAC ID: 0749545580 Enrollment ID: O20180529002510 |
---|
Entity Name | Dpi Of Georgia Llc |
---|
Entity Type | Part B Supplier - Clinic/group Practice |
---|
Entity Identifiers | NPI Number: 1407323199 PECOS PAC ID: 0941546923 Enrollment ID: O20190111001990 |
---|
Entity Name | North Atlanta Anesthesia Professionals, Llc |
---|
Entity Type | Part B Supplier - Clinic/group Practice |
---|
Entity Identifiers | NPI Number: 1982349296 PECOS PAC ID: 5496134348 Enrollment ID: O20220623000371 |
---|
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 Idi Allen 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 Idi Allen, MD 101 Yorktown Dr Ste 211, Fayetteville, GA 30214-1578 Ph: (470) 481-2020 | Dr Idi Allen, MD 101 Yorktown Dr Ste 211, Fayetteville, GA 30214-1578 Ph: (470) 481-2020 |
Reviews and Comments