Edwin Enrique Villarreal, MD - Medicare Internal Medicine in Demorest, GA

Edwin Enrique Villarreal, MD is a medicare enrolled "Hospitalist" physician in Demorest, Georgia. He graduated from medical school in 2002 and has 22 years of diverse experience with area of expertise as Internal Medicine. He is a member of the group practice Capstone Health Services Foundation Pc, Houston County Healthcare Authority, Southeastern Physician Services Pc and his current practice location is 541 Historic Hwy 441-n, Demorest, Georgia. You can reach out to his office (for appointments etc.) via phone at (770) 219-7078.

Edwin Enrique Villarreal is licensed to practice in Tennessee (license number 63221) 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 1447418397.

Contact Information

Edwin Enrique Villarreal, MD
541 Historic Hwy 441-n,
Demorest, GA 30535-4528
(770) 219-7078
(770) 219-7365

Map and Direction




Physician's Profile

Full NameEdwin Enrique Villarreal
GenderMale
SpecialityInternal Medicine
Experience22 Years
Location541 Historic Hwy 441-n, Demorest, Georgia
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Edwin Enrique Villarreal graduated from medical school in 2002
  NPI Data:
  • NPI Number: 1447418397
  • Provider Enumeration Date: 05/28/2008
  • Last Update Date: 02/24/2021
  Medicare PECOS Information:
  • PECOS PAC ID: 5496925547
  • Enrollment ID: I20140523001722

Medical Identifiers

Medical identifiers for Edwin Enrique Villarreal such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1447418397NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
208M00000XHospitalist 63221 (Tennessee)Primary
207R00000XInternal Medicine 066663 (Georgia)Secondary
208M00000XHospitalist 066663 (Georgia)Secondary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Southeast Alabama Medical CenterDothan, ALHospital
Tennova Health Care-clevelandCleveland, TNHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Capstone Health Services Foundation Pc6103724489124
Houston County Healthcare Authority9436062296195
Southeastern Physician Services Pc0042307852499

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. Edwin Enrique Villarreal allows following entities to bill medicare on his behalf.
Entity NameWhatley Health Services Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1063422756
PECOS PAC ID: 8224921705
Enrollment ID: O20040206000846
Entity NameHouston County Healthcare Authority
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1619026606
PECOS PAC ID: 9436062296
Enrollment ID: O20040219000209
Entity NameCapstone Health Services Foundation Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1740397751
PECOS PAC ID: 6103724489
Enrollment ID: O20040330001160
Entity NameHospital Physician Services - Southeast Professional Corporation
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1760410385
PECOS PAC ID: 5597774554
Enrollment ID: O20140219000913
Entity NameOak Mountain Group Services, Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1366840761
PECOS PAC ID: 3678886256
Enrollment ID: O20150727000323
Entity NameNes Tennessee, Inc.
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1437606605
PECOS PAC ID: 3678472040
Enrollment ID: O20161031002328
Entity NameApp Of Alabama Hm, Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1245713684
PECOS PAC ID: 8921342858
Enrollment ID: O20181204002903
Entity NameFlowers Hb Medical Services Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1972283828
PECOS PAC ID: 6305290990
Enrollment ID: O20231002000205

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. Edwin Enrique Villarreal 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
Edwin Enrique Villarreal, MD
Po Box 658,
Gainesville, GA 30503-0658

Ph: (770) 718-1122
Edwin Enrique Villarreal, MD
541 Historic Hwy 441-n,
Demorest, GA 30535-4528

Ph: (770) 219-7078

Reviews and Comments


Hospitalist Doctors in Demorest, GA


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.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.