Mr Gautam Jagoo, MD - Medicare Diagnostic Radiology in Snellville, GA

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Mr Gautam Jagoo, MD is a medicare enrolled "Radiology - Diagnostic Radiology" physician in Snellville, Georgia. He went to Tufts University School Of Medicine and graduated in 1999 and has 25 years of diverse experience with area of expertise as Diagnostic Radiology. He is a member of the group practice Preferred Vascular Services Southeast Llc, South Gwinnett Radiology Pc and his current practice location is 1700 Medical Way, Snellville, Georgia. You can reach out to his office (for appointments etc.) via phone at (770) 979-0200.

Mr Gautam Jagoo is licensed to practice in Georgia (license number 05601) 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 1124092986.

Contact Information

Mr Gautam Jagoo, MD
1700 Medical Way,
Snellville, GA 30078-2195
(770) 979-0200
Not Available

Map and Direction




Physician's Profile

Full NameMr Gautam Jagoo
GenderMale
SpecialityDiagnostic Radiology
Experience25 Years
Location1700 Medical Way, Snellville, 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:
  • Mr Gautam Jagoo attended and graduated from Tufts University School Of Medicine in 1999
  NPI Data:
  • NPI Number: 1124092986
  • Provider Enumeration Date: 02/16/2006
  • Last Update Date: 07/08/2007
  Medicare PECOS Information:
  • PECOS PAC ID: 9133150600
  • Enrollment ID: I20050824000612

Medical Identifiers

Medical identifiers for Mr Gautam Jagoo such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1124092986NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
2085R0202XRadiology - Diagnostic Radiology 05601 (Georgia)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Eastside Medical CenterSnellville, GAHospital
Northside HospitalAtlanta, GAHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Preferred Vascular Services Southeast Llc357781231214
South Gwinnett Radiology Pc54967104938

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. Mr Gautam Jagoo allows following entities to bill medicare on his behalf.
Entity NameSouth Gwinnett Radiology Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1740232677
PECOS PAC ID: 5496710493
Enrollment ID: O20041201000165
Entity NameNorthwest Atlanta Vascular Care Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1861766636
PECOS PAC ID: 3274793450
Enrollment ID: O20120326000454
Entity NamePreferred Vascular Services Northwest Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1598037822
PECOS PAC ID: 1850552142
Enrollment ID: O20120413000013
Entity NameMacon Vascular Care, Llc
Entity TypePart B Supplier - Ambulatory Surgical Center
Entity IdentifiersNPI Number: 1841711942
PECOS PAC ID: 1557595170
Enrollment ID: O20180723000579
Entity NamePreferred Vascular Services Southeast Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1861992976
PECOS PAC ID: 3577812312
Enrollment ID: O20180828000280
Entity NamePreferred Vascular Services Southwest
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1790285229
PECOS PAC ID: 0446502918
Enrollment ID: O20181010003246
Entity NamePreferred Vascular Services Macon Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1437659455
PECOS PAC ID: 6406108984
Enrollment ID: O20181010003906
Entity NamePreferred Vascular Services Northeast
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1780184218
PECOS PAC ID: 3577815695
Enrollment ID: O20181017002434

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. Mr Gautam Jagoo 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
Mr Gautam Jagoo, MD
2225 Sundown Dr Ne,
Atlanta, GA 30345-3552

Ph: (404) 805-4947		Mr Gautam Jagoo, MD
1700 Medical Way,
Snellville, GA 30078-2195

Ph: (770) 979-0200

Reviews and Comments


Radiology Doctors in Snellville, GA

Charlotte A Hayes, MD
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Arvind Sivakumaran, M.D.
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Robert J Kubek, MD
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Michael Robert Aho, MD
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Practice Location: 1700 Medical Way, Snellville, GA 30078
Phone: 770-979-0200    Fax: 770-736-2335
Gregory S. Berkey, MD
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Dr. Shailaja R. Sappati, MD
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Medicare: Accepting Medicare Assignments
Practice Location: 1700 Medical Way, Snellville, GA 30078
Phone: 770-979-0200    Fax: 770-736-2335

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).

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