Mustafa Kendi, MD is a medicare enrolled "Psychiatry & Neurology - Psychiatry" physician in Dekatur, Georgia. His current practice location is
1670 Clairmont Rd, Atlanta Vamc, Dekatur, Georgia. You can reach out to his office (for appointments etc.) via phone at
(404) 321-6111.
Mustafa Kendi is licensed to practice in Georgia (license number 68654) 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 1376779900.
Physician's Profile
Full Name | Mustafa Kendi |
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Gender | Male |
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Speciality | Psychiatry & Neurology - Psychiatry |
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Location | 1670 Clairmont Rd, Dekatur, 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: 1376779900
- Provider Enumeration Date: 06/10/2009
- Last Update Date: 06/25/2015
Medicare PECOS Information:
- PECOS PAC ID: 9436466455
- Enrollment ID: I20150923001080
Medical Identifiers
Medical identifiers for Mustafa Kendi such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1376779900 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
2084P0800X | Psychiatry & Neurology - Psychiatry | 68654 (Georgia) | Primary |
2084P0800X | Psychiatry & Neurology - Psychiatry | 51961 (Minnesota) | Secondary |
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. Mustafa Kendi allows following entities to bill medicare on his behalf.
Entity Name | Emory Medical Care Foundation Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1063452381 PECOS PAC ID: 4981501814 Enrollment ID: O20031217000968 |
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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. Mustafa Kendi 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 |
Mustafa Kendi, MD 1520 Avenue Place Apt 1611, Atlanta, GA 30329 Ph: () - | Mustafa Kendi, MD 1670 Clairmont Rd, Atlanta Vamc, Dekatur, GA 30033 Ph: (404) 321-6111 |
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