Dr Jaydeep Kumar Radhakrishnan, MD is a medicare enrolled "Family Medicine" physician in Sugar Hill, Georgia. He graduated from medical school in 2007 and has 17 years of diverse experience with area of expertise as Family Practice. He is a member of the group practice The Southeast Permanente Medical Group and his current practice location is
1435 Broadmoor Blvd, Sugar Hill, Georgia. You can reach out to his office (for appointments etc.) via phone at
(404) 365-0966.
Dr Jaydeep Kumar Radhakrishnan is licensed to practice in Georgia (license number 66050) 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 1730335407.
Physician's Profile
| Full Name | Dr Jaydeep Kumar Radhakrishnan |
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| Gender | Male |
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| Speciality | Family Practice |
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| Experience | 17 Years |
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| Location | 1435 Broadmoor Blvd, Sugar Hill, 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 Jaydeep Kumar Radhakrishnan graduated from medical school in 2007
NPI Data:
- NPI Number: 1730335407
- Provider Enumeration Date: 08/13/2008
- Last Update Date: 10/04/2022
Medicare PECOS Information:
- PECOS PAC ID: 2466621461
- Enrollment ID: I20110809000207
Medical Identifiers
Medical identifiers for Dr Jaydeep Kumar Radhakrishnan such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1730335407 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207Q00000X | Family Medicine | 66050 (Georgia) | Primary |
| 207Q00000X | Family Medicine | 57-014665 (Ohio) | Secondary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| The Southeast Permanente Medical Group | 6204829013 | 660 |
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 Jaydeep Kumar Radhakrishnan allows following entities to bill medicare on his behalf.
| Entity Name | The Southeast Permanente Medical Group |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1245266956
PECOS PAC ID: 6204829013
Enrollment ID: O20040407000370 |
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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 Jaydeep Kumar Radhakrishnan 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 Jaydeep Kumar Radhakrishnan, MD
3495 Piedmont Rd Ne, Nine Piedmont Center,
Atlanta, GA 30305-1717
Ph: (404) 364-7070 | Dr Jaydeep Kumar Radhakrishnan, MD
1435 Broadmoor Blvd,
Sugar Hill, GA 30518
Ph: (404) 365-0966 |
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