Plamen P Todorow, MD - Medicare Psychiatry & Neurology in Gainesville, GA

Plamen P Todorow, MD is a medicare enrolled "Psychiatry & Neurology - Clinical Neurophysiology" physician in Gainesville, Georgia. His current practice location is 1315 Jesse Jewell Pkwy Ne Ste 300, Gainesville, Georgia. You can reach out to his office (for appointments etc.) via phone at (770) 219-6520.

Plamen P Todorow is licensed to practice in Georgia (license number 079252) 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 1497736045.

Contact Information

Plamen P Todorow, MD
1315 Jesse Jewell Pkwy Ne Ste 300,
Gainesville, GA 30501-3875
(770) 219-6520
Not Available

Map and Direction




Physician's Profile

Full NamePlamen P Todorow
GenderMale
SpecialityPsychiatry & Neurology - Clinical Neurophysiology
Location1315 Jesse Jewell Pkwy Ne Ste 300, Gainesville, Georgia
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1497736045
  • Provider Enumeration Date: 11/10/2005
  • Last Update Date: 08/03/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 0143254755
  • Enrollment ID: I20190313001828

Medical Identifiers

Medical identifiers for Plamen P Todorow such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1497736045NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
2084N0600XPsychiatry & Neurology - Clinical Neurophysiology 079252 (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. Plamen P Todorow allows following entities to bill medicare on his behalf.
Entity NameAdventist Health System Georgia Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1699791343
PECOS PAC ID: 4486568037
Enrollment ID: O20031203000557
Entity NameNortheast Georgia Physicians Group Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1891745212
PECOS PAC ID: 6901898386
Enrollment ID: O20040402001277

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. Plamen P Todorow 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
Plamen P Todorow, MD
Po Box 742616,
Atlanta, GA 30374-2616

Ph: (770) 219-8420
Plamen P Todorow, MD
1315 Jesse Jewell Pkwy Ne Ste 300,
Gainesville, GA 30501-3875

Ph: (770) 219-6520

Reviews and Comments


Psychiatry & Neurology Doctors in Gainesville, GA

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John Frontera, MD
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Phone: 770-219-6520    Fax: 770-219-6521
Dr. Manjunath Markandaya, MBBS, MD
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Practice Location: 743 Spring St Ne, Gainesville, GA 30501
Phone: 770-219-9000    

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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