Dr Salome Ewurasi Defore, MD - Medicare Hospitalist in Valdosta, GA

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Dr Salome Ewurasi Defore, MD is a medicare enrolled "Internal Medicine" physician in Valdosta, Georgia. She graduated from medical school in 2018 and has 6 years of diverse experience with area of expertise as Hospitalist. She is a member of the group practice Cogent Healthcare Of Georgia Pc, Emory Medical Care Foundation Inc, Hospital Physician Services - Southeast Professional Corporation, Allatoona Physician Services Pc, The Emory Clinic, Inc and her current practice location is 2501 N Patterson St, Valdosta, Georgia. You can reach out to her office (for appointments etc.) via phone at (470) 316-3378.

Dr Salome Ewurasi Defore is licensed to practice in Georgia (license number 88578) and she also participates in the medicare program. She may accept medicare assignments (which means she may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance) and her NPI Number is 1245736172.

Contact Information

Dr Salome Ewurasi Defore, MD
2501 N Patterson St,
Valdosta, GA 31602-1735
(470) 316-3378
Not Available

Map and Direction




Physician's Profile

Full NameDr Salome Ewurasi Defore
GenderFemale
SpecialityHospitalist
Experience6 Years
Location2501 N Patterson St, Valdosta, Georgia
Accepts Medicare AssignmentsMay be. She may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Dr Salome Ewurasi Defore graduated from medical school in 2018
  NPI Data:
  • NPI Number: 1245736172
  • Provider Enumeration Date: 03/31/2018
  • Last Update Date: 04/20/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 0840541561
  • Enrollment ID: I20210913003031

Medical Identifiers

Medical identifiers for Dr Salome Ewurasi Defore such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1245736172NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
208M00000XHospitalist 88578 (Georgia)Secondary
390200000XStudent In An Organized Health Care Education/training Program (* (Not Available))Secondary
207R00000XInternal Medicine 88578 (Georgia)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Piedmont Walton HospitalMonroe, GAHospital
Cartersville Medical CenterCartersville, GAHospital
Fairview Park HospitalDublin, GAHospital
Grady Memorial HospitalAtlanta, GAHospital
Eastside Medical CenterSnellville, GAHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Cogent Healthcare Of Georgia Pc2961483607231
Emory Medical Care Foundation Inc4981501814814
Hospital Physician Services - Southeast Professional Corporation5597774554663
Allatoona Physician Services Pc751734257929
The Emory Clinic, Inc88209014082729

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 Salome Ewurasi Defore allows following entities to bill medicare on her behalf.
Entity NameThe Emory Clinic Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1396798229
PECOS PAC ID: 8820901408
Enrollment ID: O20031110000503
Entity NameEmory Medical Care Foundation Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1063452381
PECOS PAC ID: 4981501814
Enrollment ID: O20031217000968
Entity NameCogent Healthcare Of Georgia Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1609827823
PECOS PAC ID: 2961483607
Enrollment ID: O20040527000856
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 NameApogee Medical Group Georgia
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1629025143
PECOS PAC ID: 4587676945
Enrollment ID: O20060629000214
Entity NameWellstar Medical Group, Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1558664003
PECOS PAC ID: 6709065402
Enrollment ID: O20110127000374
Entity NameAnemonefish Inpatient Services Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1033514716
PECOS PAC ID: 7012236664
Enrollment ID: O20150501001344
Entity NameHightower Physician Services, Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1891296620
PECOS PAC ID: 4486903176
Enrollment ID: O20180813003569
Entity NameAllatoona Physician Services Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1497482350
PECOS PAC ID: 7517342579
Enrollment ID: O20220913000203

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 Salome Ewurasi Defore 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 Salome Ewurasi Defore, MD
2501 N Patterson St,
Valdosta, GA 31602-1735

Ph: () -		Dr Salome Ewurasi Defore, MD
2501 N Patterson St,
Valdosta, GA 31602-1735

Ph: (470) 316-3378

Reviews and Comments


Internal Medicine Doctors in Valdosta, GA

Dr. Asma Yasin, MBBS
Internal Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 2501 N Patterson St, Valdosta, GA 31602
Phone: 229-259-4178    
Dr. Nikolay Gogin, MD
Internal Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 2501 N Patterson St, Valdosta, GA 31602
Phone: 229-259-4131    
Dr. Felix G Valdez, MD
Internal Medicine
Medicare: May Accept Medicare Assignments
Practice Location: 2501 N Patterson St, Valdosta, GA 31602
Phone: 229-259-4501    Fax: 229-259-4502
Dr. Moriamo Adedoyin Fashugba, MD
Internal Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 2501 N Patterson St, Valdosta, GA 31602
Phone: 229-433-1000    
Dr. Gerald S Light, MD
Internal Medicine
Medicare: Medicare Enrolled
Practice Location: 3564b Northcrossing Cir, Valdosta, GA 31602
Phone: 229-247-1414    Fax: 229-247-1978
Dr. William C Tidmore Jr., M.D.
Internal Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 2418 N Oak St, Valdosta, GA 31602
Phone: 229-219-0247    Fax: 229-219-0837
Dr. Michael Heron, MD
Internal Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 2501 N Patterson St, Valdosta, GA 31602
Phone: 229-259-4178    

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.

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