Dr Ellis Mossaded, MD is a medicare enrolled "Specialist" physician in Gainesville, Georgia. His current practice location is
2200 Old Hamilton Pl, Gainesville, Georgia. You can reach out to his office (for appointments etc.) via phone at
(770) 532-2066.
Dr Ellis Mossaded is licensed to practice in Georgia (license number 74500) 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 1790195261.
Physician's Profile
Full Name | Dr Ellis Mossaded |
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Gender | Male |
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Speciality | Specialist |
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Location | 2200 Old Hamilton Pl, Gainesville, Georgia |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1790195261
- Provider Enumeration Date: 05/05/2014
- Last Update Date: 07/23/2024
Medicare PECOS Information:
- PECOS PAC ID: 1658597695
- Enrollment ID: I20140728001062
Medical Identifiers
Medical identifiers for Dr Ellis Mossaded such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1790195261 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
208D00000X | General Practice | P92721 (New York) | Secondary |
174400000X | Specialist | 74500 (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. Dr Ellis Mossaded allows following entities to bill medicare on his behalf.
Entity Name | Essen Medical Associates, Pc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1366418709 PECOS PAC ID: 1759353501 Enrollment ID: O20040811000885 |
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Entity Name | Bronx Medical Practice Pc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1356726087 PECOS PAC ID: 9739496100 Enrollment ID: O20150917000004 |
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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. Dr Ellis Mossaded 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 |
Dr Ellis Mossaded, MD 6065 Roswell Rd, Sandy Springs, GA 30328-4011 Ph: (770) 231-3100 | Dr Ellis Mossaded, MD 2200 Old Hamilton Pl, Gainesville, GA 30507-7892 Ph: (770) 532-2066 |
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