Dr Roland Manoutcheher Brown, MD is a medicare enrolled "General Practice" physician in Moultrie, Georgia. His current practice location is
2801 S Main St, Moultrie, Georgia. You can reach out to his office (for appointments etc.) via phone at
(229) 891-2170.
Dr Roland Manoutcheher Brown is licensed to practice in Georgia (license number O43008) 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 1295818581.
Physician's Profile
Full Name | Dr Roland Manoutcheher Brown |
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Gender | Male |
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Speciality | General Practice |
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Location | 2801 S Main St, Moultrie, 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: 1295818581
- Provider Enumeration Date: 10/23/2006
- Last Update Date: 10/04/2019
Medicare PECOS Information:
- PECOS PAC ID: 6002885936
- Enrollment ID: I20160121001194
Medical Identifiers
Medical identifiers for Dr Roland Manoutcheher Brown such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1295818581 | NPI | - | NPPES |
85001900G | Medicaid | GA | |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
208D00000X | General Practice | O43008 (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 Roland Manoutcheher Brown 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 Roland Manoutcheher Brown, MD 2801 S Main St, Moultrie, GA 31768-6908 Ph: (229) 891-2170 | Dr Roland Manoutcheher Brown, MD 2801 S Main St, Moultrie, GA 31768-6908 Ph: (229) 891-2170 |
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