Dr Ingrid Tanubrata, MD - Medicare Internal Medicine in Decatur, GA

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Dr Ingrid Tanubrata, MD is a medicare enrolled "Internal Medicine" physician in Decatur, Georgia. Her current practice location is 1670 Clairmont Rd, Decatur, Georgia. You can reach out to her office (for appointments etc.) via phone at (404) 321-6111.

Dr Ingrid Tanubrata is licensed to practice in Georgia (license number 058227) 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 1659394542.

Contact Information

Dr Ingrid Tanubrata, MD
1670 Clairmont Rd,
Decatur, GA 30033-4004
(404) 321-6111
Not Available

Map and Direction




Physician's Profile

Full NameDr Ingrid Tanubrata
GenderFemale
SpecialityInternal Medicine
Location1670 Clairmont Rd, Decatur, Georgia
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1659394542
  • Provider Enumeration Date: 07/25/2006
  • Last Update Date: 10/09/2014
  Medicare PECOS Information:
  • PECOS PAC ID: 8820098726
  • Enrollment ID: I20061227000108

Medical Identifiers

Medical identifiers for Dr Ingrid Tanubrata such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1659394542NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207R00000XInternal Medicine 058227 (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 Ingrid Tanubrata allows following entities to bill medicare on her behalf.
Entity NameHamilton Medical Center, Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1528056066
PECOS PAC ID: 0446151179
Enrollment ID: O20040116000053
Entity NameTift Regional Health System, Inc.
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1790280857
PECOS PAC ID: 5193619971
Enrollment ID: O20040212000064
Entity NameHospital Physician Services - Southeast Professional Corporation
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1760410385
PECOS PAC ID: 5597774554
Enrollment ID: O20060419000545
Entity NameEcc Hospitalist Services Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1710108170
PECOS PAC ID: 2567563356
Enrollment ID: O20070724000176
Entity NameSoutheastern Hospitalist Services Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1003280108
PECOS PAC ID: 3476855420
Enrollment ID: O20160107001140

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 Ingrid Tanubrata 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 AddressPractice Location Address
Dr Ingrid Tanubrata, MD
10915 Old Stone Ct,
Duluth, GA 30097-8416

Ph: (404) 435-6457		Dr Ingrid Tanubrata, MD
1670 Clairmont Rd,
Decatur, GA 30033-4004

Ph: (404) 321-6111

Reviews and Comments


Internal Medicine Doctors in Decatur, GA

Dr. Ned Wilson Holland, MD
Internal Medicine
Medicare: Medicare Enrolled
Practice Location: 1670 Clairmont Rd, Vamc - 11b, Decatur, GA 30033
Phone: 404-321-6111    Fax: 404-728-4703
Cedrella Carol Jones-taylor, M.D.
Internal Medicine
Medicare: Medicare Enrolled
Practice Location: 1670 Clairmont Rd, Primary Care, Decatur, GA 30033
Phone: 404-321-6111    
Dr. Gary Robert Botstein, M.D.
Internal Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 2712 N Decatur Rd, Decatur, GA 30033
Phone: 404-299-0187    Fax: 404-292-2766
Priti Rajnikant Patel, M.D.
Internal Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 1670 Clairmont Road, Primary Care, Decatur, GA 30033
Phone: 404-321-6111    
John Oliga, M.D.
Internal Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 4153b Flat Shoals Pkwy, Ste 200, Decatur, GA 30034
Phone: 404-585-5049    Fax: 404-591-0292
Dr. Pojnicha Mekaroonkamol, M.D.
Internal Medicine
Medicare: Medicare Enrolled
Practice Location: 2124 Candler Road, Jencare Neighborhood Medical Center South Dekalb, Llc, Decatur, GA 30032
Phone: 404-836-0272    Fax: 404-836-0289
Dr. Charles Michael Hart, MD
Internal Medicine
Medicare: Medicare Enrolled
Practice Location: 1670 Clairmont Rd, 151-p, Decatur, GA 30033
Phone: 404-321-6111    Fax: 404-728-7750

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.