Dr Idi Allen, MD is a medicare enrolled "Pain Medicine - Interventional Pain Medicine" physician in Fayetteville, Georgia. 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 |
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| Gender | Male |
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| Speciality | |
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| Experience | Years |
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| Location | 101 Yorktown Dr Ste 211, Fayetteville, Georgia |
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| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Dr Idi Allen attended and graduated from in
NPI Data:
- NPI Number: 1700029402
- Provider Enumeration Date: 04/09/2009
- Last Update Date: 03/21/2019
Medicare PECOS Information:
- PECOS PAC ID:
- Enrollment ID:
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 |
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| 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 |
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 |
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