Mr Sanjay Manohar Athavale, MD in Dawsonville, GA

Mr Sanjay Manohar Athavale, MD is a medicare enrolled "Otolaryngology" physician in Dawsonville, Georgia. He went to University Of South Florida College Of Medicine and graduated in 2007 and has 17 years of diverse experience with area of expertise as Otolaryngology. He is a member of the group practice Ent Of Georgia, Llc, Georgia Surgical Professional Services Llc and his current practice location is 100 Dawson Commons Circle, Suite 140, Dawsonville, Georgia. You can reach out to his office (for appointments etc.) via phone at (770) 217-6224.

Mr Sanjay Manohar Athavale is licensed to practice in Georgia (license number 69172) 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 1942404421.

Contact Information

	Mr Sanjay Manohar Athavale, MD
	100 Dawson Commons Circle, Suite 140, Dawsonville, GA 30534
	(770) 217-6224
	(706) 216-4830

Map and Direction

Physician's Profile

Full Name	Mr Sanjay Manohar Athavale
Gender	Male
Speciality	Otolaryngology
Experience	17 Years
Location	100 Dawson Commons Circle, Dawsonville, Georgia
Accepts Medicare Assignments	Yes. 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 Sanjay Manohar Athavale attended and graduated from University Of South Florida College Of Medicine in 2007

NPI Data:

NPI Number: 1942404421
Provider Enumeration Date: 06/11/2007
Last Update Date: 06/17/2019

Medicare PECOS Information:

PECOS PAC ID: 3678728912
Enrollment ID: I20130312000554

Medical Identifiers

Medical identifiers for Mr Sanjay Manohar Athavale such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1942404421	NPI	-	NPPES
003131877I	Medicaid	GA
003131877J	Medicaid	GA
003131877M	Medicaid	GA

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207Y00000X	Otolaryngology	69172 (Georgia)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Cartersville Medical Center	Cartersville, GA	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Ent Of Georgia, Llc	1557254109	10
Georgia Surgical Professional Services Llc	3375774011	45

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 Sanjay Manohar Athavale allows following entities to bill medicare on his behalf.

Entity Name	Ent Of Georgia, Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1922046424 PECOS PAC ID: 1557254109 Enrollment ID: O20040206000068

Entity Name	Georgia Surgical Professional Services Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1801224506 PECOS PAC ID: 3375774011 Enrollment ID: O20140324000595

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 Sanjay Manohar Athavale 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
Mr Sanjay Manohar Athavale, MD 100 Dawson Commons Circle, Suite 140, Dawsonville, GA 30534 Ph: (770) 217-6224	Mr Sanjay Manohar Athavale, MD 100 Dawson Commons Circle, Suite 140, Dawsonville, GA 30534 Ph: (770) 217-6224

Mr Sanjay Manohar Athavale, MD - Medicare Otolaryngology in Dawsonville, GA