Dr Michael Edward Powell, MD is a medicare enrolled "Otolaryngology - Facial Plastic Surgery" physician in Statham, Georgia. His current practice location is
1702 Bent Pine Ln, Statham, Georgia. You can reach out to his office (for appointments etc.) via phone at
(706) 548-3342.
Dr Michael Edward Powell is licensed to practice in Georgia (license number GA20589) 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 1164552220.
Physician's Profile
Full Name | Dr Michael Edward Powell |
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Gender | Male |
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Speciality | Otolaryngology - Facial Plastic Surgery |
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Location | 1702 Bent Pine Ln, Statham, 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: 1164552220
- Provider Enumeration Date: 03/07/2007
- Last Update Date: 01/10/2017
Medicare PECOS Information:
- PECOS PAC ID: 8820398316
- Enrollment ID: I20151207001073
Medical Identifiers
Medical identifiers for Dr Michael Edward Powell such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1164552220 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207YS0123X | Otolaryngology - Facial Plastic Surgery | GA20589 (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 Michael Edward Powell 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 Michael Edward Powell, MD 1702 Bent Pine Ln, Statham, GA 30666-2602 Ph: (706) 548-3342 | Dr Michael Edward Powell, MD 1702 Bent Pine Ln, Statham, GA 30666-2602 Ph: (706) 548-3342 |
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