Rajeev Nagaraj Mysorekar, MD is a medicare enrolled "Preventive Medicine - Undersea And Hyperbaric Medicine" physician in Conyers, Georgia. His current practice location is
1412 Milstead Ave Ne, Conyers, Georgia. You can reach out to his office (for appointments etc.) via phone at
(678) 413-7738.
Rajeev Nagaraj Mysorekar is licensed to practice in Georgia (license number 080944) 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 1093783169.
Physician's Profile
Full Name | Rajeev Nagaraj Mysorekar |
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Gender | Male |
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Speciality | Preventive Medicine - Undersea And Hyperbaric Medicine |
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Location | 1412 Milstead Ave Ne, Conyers, 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: 1093783169
- Provider Enumeration Date: 03/14/2006
- Last Update Date: 09/23/2019
Medicare PECOS Information:
- PECOS PAC ID: 8022076728
- Enrollment ID: I20181024002997
Medical Identifiers
Medical identifiers for Rajeev Nagaraj Mysorekar such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1093783169 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
2083P0011X | Preventive Medicine - Undersea And Hyperbaric Medicine | 080944 (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. Rajeev Nagaraj Mysorekar allows following entities to bill medicare on his behalf.
Entity Name | Piedmont Specialty Hospital Billing Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1699290510 PECOS PAC ID: 4183986490 Enrollment ID: O20180327001180 |
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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. Rajeev Nagaraj Mysorekar 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 |
Rajeev Nagaraj Mysorekar, MD 2727 Paces Ferry Rd Se Ste 1-1100, Atlanta, GA 30339-6151 Ph: () - | Rajeev Nagaraj Mysorekar, MD 1412 Milstead Ave Ne, Conyers, GA 30012-3877 Ph: (678) 413-7738 |
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