Eileen Javellana, MD in Gainesville, GA - Medicare Internal Medicine

Eileen Javellana, MD is a medicare enrolled "Internal Medicine" physician in Gainesville, Georgia. She went to Wayne State University School Of Medicine and graduated in 1995 and has 29 years of diverse experience with area of expertise as Internal Medicine. She is a member of the group practice The Longstreet Clinic, Pc and her current practice location is 725 Jesse Jewell Pkwy Se, Gainesville, Georgia. You can reach out to her office (for appointments etc.) via phone at (678) 207-4373.

Eileen Javellana is licensed to practice in Georgia (license number 045841) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1003896952.

Contact Information

	Eileen Javellana, MD
	725 Jesse Jewell Pkwy Se, Gainesville, GA 30501-3834
	(678) 207-4373
	(770) 533-4727

Map and Direction

Physician's Profile

Full Name	Eileen Javellana
Gender	Female
Speciality	Internal Medicine
Experience	29 Years
Location	725 Jesse Jewell Pkwy Se, Gainesville, Georgia
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Eileen Javellana attended and graduated from Wayne State University School Of Medicine in 1995

NPI Data:

NPI Number: 1003896952
Provider Enumeration Date: 01/18/2006
Last Update Date: 05/07/2024

Medicare PECOS Information:

PECOS PAC ID: 7517925761
Enrollment ID: I20100827000819

Medical Identifiers

Medical identifiers for Eileen Javellana such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1003896952	NPI	-	NPPES
000800555E	Medicaid	GA
582117020045	Other	GA	TRICARE CERTIFIED
582117020055	Other	GA	TRICARE CERTIFIED
000800555C	Medicaid	GA
000800555D	Medicaid	GA
000800555G	Medicaid	GA
110211686	Other	GA	RR MEDICARE-GRP # CC4177
2448449	Other	GA	CIGNA
000800555J	Medicaid	GA
000800555M	Medicaid	GA
10045921	Other	GA	AMERIGROUP
110029C048846	Other	GA	TRAILBLAZER HEALTH ENTERPRISES
11BDRZS	Other	GA	MEDICARE CAHABA GBA
000800555B	Medicaid	GA
582117020057	Other	GA	TRICARE CERTIFIED
0400503	Other	GA	UNITED HEALTHCARE
000800555F	Medicaid	GA
000800555K	Medicaid	GA
000800555N	Medicaid	GA
340854	Other	GA	WELLCARE
110211686	Other	GA	PALMETTO RAILROAD MEDICARE PART B
52598478	Other	GA	BCBS
582117020	Other	GA	TRICARE CERTIFIED
783517	Other	GA	ATENA
000800555H	Medicaid	GA
000800555I	Medicaid	GA
000800555L	Medicaid	GA
767999	Other	GA	COVENTRY HEALTHCARE

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208M00000X	Hospitalist	045841 (Georgia)	Secondary
207R00000X	Internal Medicine	045841 (Georgia)	Primary
207RB0002X	Internal Medicine - Obesity Medicine	045841 (Georgia)	Secondary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Northeast Georgia Medical Center, Inc	Gainesville, GA	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
The Longstreet Clinic, Pc	2668465733	145

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. Eileen Javellana allows following entities to bill medicare on her behalf.

Entity Name	The Longstreet Clinic, Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1326019977 PECOS PAC ID: 2668465733 Enrollment ID: O20040405001521

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. Eileen Javellana 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
Eileen Javellana, MD Po Box 658, Gainesville, GA 30503-0658 Ph: (770) 718-1122	Eileen Javellana, MD 725 Jesse Jewell Pkwy Se, Gainesville, GA 30501-3834 Ph: (678) 207-4373

Reviews and Comments

Internal Medicine Doctors in Gainesville, GA

James D Jackson, M.D. Internal Medicine Medicare: Medicare Enrolled Practice Location: 1285 Sims St, Gainesville, GA 30501 Phone: 770-219-8583
Dr. Nitya S Chandra, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 200 S Enota Dr Ne Ste 100, Gainesville, GA 30501 Phone: 770-534-2020 Fax: 770-534-8025
Dr. Lisa Armsrees Gillespie, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 743 Spring St Ne, Gainesville, GA 30501 Phone: 770-219-8420
Dr. Noelle Claudine Stanley, MD Internal Medicine Medicare: Medicare Enrolled Practice Location: 1211 Sherwood Park Dr Ne Ste B, Gainesville, GA 30501 Phone: 770-219-9179
Kedric Naylor, Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 743 Spring St Ne, Gainesville, GA 30501 Phone: 770-219-9000 Fax: 770-538-7872
Dr. William Nathan Blake, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 743 Spring St Ne, Ngpg Inpatient Medicine, Gainesville, GA 30501 Phone: 770-219-6000 Fax: 770-219-6021
Roberto Manuel Villanueva, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1240 Jesse Jewell Pkwy Se, Suite 500, Gainesville, GA 30501 Phone: 770-536-9864

Eileen Javellana, MD - Medicare Internal Medicine in Gainesville, GA