Eduardo Lamas Basulto, MD is a medicare enrolled "Physical Medicine & Rehabilitation - Pain Medicine" physician in Stonecrest, Georgia. His current practice location is
8225 Mall Pkwy, Stonecrest, Georgia. You can reach out to his office (for appointments etc.) via phone at
(770) 482-3241.
Eduardo Lamas Basulto is licensed to practice in Georgia (license number 100573) 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 1992364806.
Physician's Profile
| Full Name | Eduardo Lamas Basulto |
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| Gender | Male |
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| Speciality | Physical Medicine & Rehabilitation - Pain Medicine |
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| Location | 8225 Mall Pkwy, Stonecrest, Georgia |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1992364806
- Provider Enumeration Date: 06/13/2019
- Last Update Date: 06/25/2024
Medicare PECOS Information:
- PECOS PAC ID: 8022431782
- Enrollment ID: I20240808003102
Medical Identifiers
Medical identifiers for Eduardo Lamas Basulto such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1992364806 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 2081P2900X | Physical Medicine & Rehabilitation - Pain Medicine | 100573 (Georgia) | Primary |
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. Eduardo Lamas Basulto allows following entities to bill medicare on his behalf.
| Entity Name | The Emory Clinic Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1396798229
PECOS PAC ID: 8820901408
Enrollment ID: O20031110000503 |
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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. Eduardo Lamas Basulto 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 |
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Eduardo Lamas Basulto, MD
3137 Buford Hwy Ne Apt 7,
Brookhaven, GA 30329-1756
Ph: (786) 274-9963 | Eduardo Lamas Basulto, MD
8225 Mall Pkwy,
Stonecrest, GA 30038-6994
Ph: (770) 482-3241 |
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