Dr Takele Tilaye Demesilassie, MD in Marietta, GA

Dr Takele Tilaye Demesilassie, MD is a medicare enrolled "Hospitalist" physician in Marietta, Georgia. He graduated from medical school in 2003 and has 21 years of diverse experience with area of expertise as Hospitalist. He is a member of the group practice Wellstar Medical Group, Llc and his current practice location is 677 Church St Ne # 111, Marietta, Georgia. You can reach out to his office (for appointments etc.) via phone at (770) 793-7750.

Dr Takele Tilaye Demesilassie is licensed to practice in Georgia (license number 069183) 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 1164734463.

Contact Information

	Dr Takele Tilaye Demesilassie, MD
	677 Church St Ne # 111, Marietta, GA 30060-1101
	(770) 793-7750
	Not Available

Map and Direction

Physician's Profile

Full Name	Dr Takele Tilaye Demesilassie
Gender	Male
Speciality	Hospitalist
Experience	21 Years
Location	677 Church St Ne # 111, Marietta, Georgia
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Dr Takele Tilaye Demesilassie graduated from medical school in 2003

NPI Data:

NPI Number: 1164734463
Provider Enumeration Date: 07/02/2010
Last Update Date: 10/02/2019

Medicare PECOS Information:

PECOS PAC ID: 3375782634
Enrollment ID: I20130617000583

Medical Identifiers

Medical identifiers for Dr Takele Tilaye Demesilassie such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1164734463	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207R00000X	Internal Medicine	4185 (Georgia)	Secondary
208M00000X	Hospitalist	069183 (Georgia)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Wellstar Kennestone Hospital	Marietta, GA	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Wellstar Medical Group, Llc	6709065402	1917

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 Takele Tilaye Demesilassie allows following entities to bill medicare on his behalf.

Entity Name	Wellstar Medical Group, Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1558664003 PECOS PAC ID: 6709065402 Enrollment ID: O20110127000374

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 Takele Tilaye Demesilassie 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 Takele Tilaye Demesilassie, MD 677 Church St Ne # 111, Marietta, GA 30060-1101 Ph: (770) 793-7750	Dr Takele Tilaye Demesilassie, MD 677 Church St Ne # 111, Marietta, GA 30060-1101 Ph: (770) 793-7750

Reviews and Comments

Hospitalist Doctors in Marietta, GA

Dr. Vaishali S Shah, MD Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 677 Church St Ne, Attn: Hospitalist Office, Wellstar Kennestone Hospital, Marietta, GA 30060 Phone: 770-793-7750 Fax: 770-793-7755
Bristol Yates Savage, MD Hospitalist Medicare: Medicare Enrolled Practice Location: 677 Church St Ne # 111, Marietta, GA 30060 Phone: 770-793-7750
Manogna Maddineni, M.D Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 677 Church St Ne # 111, Marietta, GA 30060 Phone: 770-793-7750
Dr. Anila Jacob, M.D. Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 677 Church Street, Wellstar Hospitalist Group-wellstar Kennestone Hospital, Marietta, GA 30060 Phone: 770-793-7750
Zhaneta Dzmitryieva, MD Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 677 Church St Ne, Marietta, GA 30060 Phone: 770-793-7750 Fax: 770-793-7755
Christy Nelson, FNP Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 310 Kennestone Hospital Blvd, Marietta, GA 30060 Phone: 877-354-1821
Kumiko Owada, MD Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 677 Church St Ne, Marietta, GA 30060 Phone: 770-793-5000

Dr Takele Tilaye Demesilassie, MD - Medicare Hospitalist in Marietta, GA