Keisha Bonhomme Ellis, MD in Alpharetta, GA - Medicare Internal Medicine

Keisha Bonhomme Ellis, MD is a medicare enrolled "Internal Medicine" physician in Alpharetta, Georgia. Her current practice location is 3225 N Point Pkwy Ste 103, Alpharetta, Georgia. You can reach out to her office (for appointments etc.) via phone at (470) 657-3312.

Keisha Bonhomme Ellis is licensed to practice in Georgia (license number 080549) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1366887861.

Contact Information

	Keisha Bonhomme Ellis, MD
	3225 N Point Pkwy Ste 103, Alpharetta, GA 30005-4726
	(470) 657-3312
	(833) 450-5693

Map and Direction

Physician's Profile

Full Name	Keisha Bonhomme Ellis
Gender	Female
Speciality	Internal Medicine
Location	3225 N Point Pkwy Ste 103, Alpharetta, Georgia
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1366887861
Provider Enumeration Date: 05/10/2013
Last Update Date: 08/20/2024

Medicare PECOS Information:

PECOS PAC ID: 9436401031
Enrollment ID: I20181009003866

Medical Identifiers

Medical identifiers for Keisha Bonhomme Ellis such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1366887861	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207RE0101X	Internal Medicine - Endocrinology, Diabetes & Metabolism	080549 (Georgia)	Secondary
207RE0101X	Internal Medicine - Endocrinology, Diabetes & Metabolism	ME154963 (Florida)	Secondary
207R00000X	Internal Medicine	080549 (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. Keisha Bonhomme Ellis allows following entities to bill medicare on her behalf.

Entity Name	Athens Regional Specialty Services, Inc.
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1083939136 PECOS PAC ID: 8325162340 Enrollment ID: O20100827000645

Entity Name	Piedmont Athens Primary Care Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1245746783 PECOS PAC ID: 0648520841 Enrollment ID: O20180910002202

Entity Name	Piedmont Athens Specialty Care Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1184130627 PECOS PAC ID: 8820349772 Enrollment ID: O20180917001273

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. Keisha Bonhomme Ellis 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
Keisha Bonhomme Ellis, MD 3225 N Point Pkwy Ste 103, Alpharetta, GA 30005-4726 Ph: (470) 657-3312	Keisha Bonhomme Ellis, MD 3225 N Point Pkwy Ste 103, Alpharetta, GA 30005-4726 Ph: (470) 657-3312

Reviews and Comments

Internal Medicine Doctors in Alpharetta, GA

Jeffrey Obiora, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 3180 N Point Pkwy Ste 303, Alpharetta, GA 30005 Phone: 678-205-9004
Dr. Jay Arthur Cherner, M.D. Internal Medicine Medicare: May Accept Medicare Assignments Practice Location: 3330 Preston Ridge Rd, Suite 220, Alpharetta, GA 30005 Phone: 770-410-1600 Fax: 770-410-0006
Randy Turkel, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 11600 Atlantis Place, Suite B, Alpharetta, GA 30022 Phone: 770-664-4449 Fax: 770-777-6496
Xiaowen Wu, MD Internal Medicine Medicare: May Accept Medicare Assignments Practice Location: 10800 Jones Bridge Rd, Ste A, Alpharetta, GA 30022 Phone: 678-867-0135 Fax: 678-867-0137
Dr. Justin Chen, MD Internal Medicine Medicare: Medicare Enrolled Practice Location: 2575 Northwinds Pkwy, Alpharetta, GA 30009 Phone: 800-930-0748
Irfan Ali Syed, DO Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 3584 Old Milton Pkwy, Alpharetta, GA 30005 Phone: 678-691-3388 Fax: 678-395-7702
Arezou Fatemi, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 3180 N Point Pkwy, Ste 303, Alpharetta, GA 30005 Phone: 678-205-9004 Fax: 678-205-9005

Keisha Bonhomme Ellis, MD - Medicare Internal Medicine in Alpharetta, GA