Dr Piyushkumar R Patel, MD - Medicare Family Practice in Gainesville, GA

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Dr Piyushkumar R Patel, MD is a medicare enrolled "Family Medicine" physician in Gainesville, Georgia. He graduated from medical school in 1999 and has 25 years of diverse experience with area of expertise as Family Practice. He is a member of the group practice The Medical Center Of Central Georgia Inc. and his current practice location is 597 S Enota Dr Ne, Gainesville, Georgia. You can reach out to his office (for appointments etc.) via phone at (770) 219-7777.

Dr Piyushkumar R Patel is licensed to practice in Georgia (license number 058117) 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 1790708279.

Contact Information

Dr Piyushkumar R Patel, MD
597 S Enota Dr Ne,
Gainesville, GA 30501
(770) 219-7777
(770) 219-7778

Map and Direction




Physician's Profile

Full NameDr Piyushkumar R Patel
GenderMale
SpecialityFamily Practice
Experience25 Years
Location597 S Enota Dr Ne, Gainesville, 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:
  • Dr Piyushkumar R Patel graduated from medical school in 1999
  NPI Data:
  • NPI Number: 1790708279
  • Provider Enumeration Date: 07/25/2006
  • Last Update Date: 10/22/2020
  Medicare PECOS Information:
  • PECOS PAC ID: 4082618368
  • Enrollment ID: I20060828000471

Medical Identifiers

Medical identifiers for Dr Piyushkumar R Patel such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1790708279NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine 058117 (Georgia)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Medical Center, Navicent Health (the)Macon, GAHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
The Medical Center Of Central Georgia Inc.367847744524

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 Piyushkumar R Patel allows following entities to bill medicare on his behalf.
Entity NamePhoebe Putney Memorial Hospital, Inc.
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1992789721
PECOS PAC ID: 4486559549
Enrollment ID: O20031203000397
Entity NameThe Medical Center Of Central Georgia Inc.
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1831287655
PECOS PAC ID: 3678477445
Enrollment ID: O20040812000902
Entity NamePhoebe Physician Group Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1487899464
PECOS PAC ID: 8426112350
Enrollment ID: O20090121000583
Entity NameHouston Hospitals Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1891808499
PECOS PAC ID: 4284797580
Enrollment ID: O20091130000039

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 Piyushkumar R Patel 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
Dr Piyushkumar R Patel, MD
Po Box 742616,
Atlanta, GA 30374-2616

Ph: (770) 219-8420		Dr Piyushkumar R Patel, MD
597 S Enota Dr Ne,
Gainesville, GA 30501

Ph: (770) 219-7777

Reviews and Comments


Family Medicine Doctors in Gainesville, GA

Margaret Grifa, M.D.
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Carlos Lucero, M.D.
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Dr. John E Delzell Jr., M.D.
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Gary Alan Jordan, MD
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Medicare: Accepting Medicare Assignments
Practice Location: 597 S Enota Dr Ne, Gainesville, GA 30501
Phone: 770-219-7777    Fax: 770-219-7778
William K Bostock, DO
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Medicare: Accepting Medicare Assignments
Practice Location: 1439 Jesse Jewell Pkwy Ne Ste 102, Gainesville, GA 30501
Phone: 770-219-9445    

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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