Michael Daren Mudrey, DO - Medicare Surgery in Acworth, GA

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Michael Daren Mudrey, DO is a medicare enrolled "Surgery" physician in Acworth, Georgia. His current practice location is 3540 Cobb Pkwy, Ste 100, Acworth, Georgia. You can reach out to his office (for appointments etc.) via phone at (706) 632-3711.

Michael Daren Mudrey is licensed to practice in Georgia (license number 38564) 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 1376574863.

Contact Information

Michael Daren Mudrey, DO
3540 Cobb Pkwy, Ste 100,
Acworth, GA 30101
(706) 632-3711
Not Available

Map and Direction




Physician's Profile

Full NameMichael Daren Mudrey
GenderMale
SpecialitySurgery
Location3540 Cobb Pkwy, Acworth, Georgia
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1376574863
  • Provider Enumeration Date: 07/05/2006
  • Last Update Date: 02/11/2020
  Medicare PECOS Information:
  • PECOS PAC ID: 0042292120
  • Enrollment ID: I20040602001450

Medical Identifiers

Medical identifiers for Michael Daren Mudrey such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1376574863NPI-NPPES
000621398JMedicaidGA

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207P00000XEmergency Medicine 038564 (Georgia)Secondary
208600000XSurgery 38564 (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. Michael Daren Mudrey allows following entities to bill medicare on his behalf.
Entity NamePeachtree Immediate Care Fp, Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1437194156
PECOS PAC ID: 3274559323
Enrollment ID: O20051019000049
Entity NameHartwell Emergency Physicians Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1962540849
PECOS PAC ID: 6709980022
Enrollment ID: O20070327000195
Entity NameFannin Emergency Group Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1588962880
PECOS PAC ID: 7012190002
Enrollment ID: O20110329000723
Entity NameSouthland Emergency Medical Services Consolidated, Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1033464391
PECOS PAC ID: 4183871320
Enrollment ID: O20120823000503
Entity NamePhysicians Immediate Med Of Decatur, Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1235573841
PECOS PAC ID: 3072741818
Enrollment ID: O20140124000587
Entity NameSouthland Chatuge Emergency Medical Services, Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1881127942
PECOS PAC ID: 5294003844
Enrollment ID: O20170622001904
Entity NameSouthland Union Emergency Medical Services, Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1164954715
PECOS PAC ID: 8224308770
Enrollment ID: O20170717002347
Entity NameFort Oglethorpe Emergency Physicians Group Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1174024376
PECOS PAC ID: 8527323633
Enrollment ID: O20180521000111

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. Michael Daren Mudrey 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
Michael Daren Mudrey, DO
Po Box 1332,
Mc Caysville, GA 30555-1332

Ph: (706) 632-3711		Michael Daren Mudrey, DO
3540 Cobb Pkwy, Ste 100,
Acworth, GA 30101

Ph: (706) 632-3711

Reviews and Comments


Surgery Doctors in Acworth, GA

Andre Gentry, CSA
Surgery
Medicare: Not Enrolled in Medicare
Practice Location: 217 Brookhaven Ct, Acworth, GA 30102
Phone: 770-985-4257    Fax: 770-985-4258
Mr. Carlos Alberto Escobar, NP-C
Surgery
Medicare: Not Enrolled in Medicare
Practice Location: 6460 Highway 92, Ste 200, Acworth, GA 30102
Phone: 770-880-4517    
Georgette Anthony,
Surgery
Medicare: Not Enrolled in Medicare
Practice Location: 5116 Verbena Dr Nw, Acworth, GA 30102
Phone: 770-630-8997    Fax: 770-926-6510
Anit S Vettukattil, MD
Surgery
Medicare: Accepting Medicare Assignments
Practice Location: 4450 Calibre Xing Nw Ste 1110, Acworth, GA 30101
Phone: 770-924-9656    Fax: 770-966-7288
Henry John Zielinski, M.D.
Surgery
Medicare: Not Enrolled in Medicare
Practice Location: 5825 Brookstone Walk Nw, Acworth, GA 30101
Phone: 770-597-0045    
Daniel Judah Holtz, MD
Surgery
Medicare: Accepting Medicare Assignments
Practice Location: 4550 Cobb Parkway North Nw, Suite #309b, Acworth, GA 30101
Phone: 770-917-6795    Fax: 770-529-9077

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.