Dr Khaled Ali Qasem, MD is a medicare enrolled "General Practice" physician in Smyrna, Georgia. His current practice location is
3073 Dunn St Se, Smyrna, Georgia. You can reach out to his office (for appointments etc.) via phone at
(478) 892-3189.
Dr Khaled Ali Qasem is licensed to practice in Georgia (license number 025816) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1568686145.
Physician's Profile
Full Name | Dr Khaled Ali Qasem |
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Gender | Male |
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Speciality | General Practice |
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Location | 3073 Dunn St Se, Smyrna, Georgia |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1568686145
- Provider Enumeration Date: 04/13/2007
- Last Update Date: 06/14/2012
Medicare PECOS Information:
- PECOS PAC ID: 0244463172
- Enrollment ID: I20140430001561
Medical Identifiers
Medical identifiers for Dr Khaled Ali Qasem such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1568686145 | NPI | - | NPPES |
00275195A | Medicaid | GA | |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
208D00000X | General Practice | 025816 (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 Khaled Ali Qasem 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 Khaled Ali Qasem, MD 3073 Dunn St Se, Smyrna, GA 30080-4470 Ph: (478) 892-3189 | Dr Khaled Ali Qasem, MD 3073 Dunn St Se, Smyrna, GA 30080-4470 Ph: (478) 892-3189 |
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