Shomari Andre Ruffin, MD in Carrollton, GA - Medicare Orthopedic Surgery

Shomari Andre Ruffin, MD is a medicare enrolled "Orthopaedic Surgery - Sports Medicine" physician in Carrollton, Georgia. He went to Medical College Of Georgia School Of Medicine and graduated in 2008 and has 17 years of diverse experience with area of expertise as Orthopedic Surgery. He is a member of the group practice Performance Orthopaedics And Sports Medicine and his current practice location is 150 Clinic Ave, Suite 101, Carrollton, Georgia. You can reach out to his office (for appointments etc.) via phone at (770) 834-0873.

Shomari Andre Ruffin is licensed to practice in Georgia (license number 72107) 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 1114185840.

Contact Information

	Shomari Andre Ruffin, MD
	150 Clinic Ave, Suite 101, Carrollton, GA 30117-4401
	(770) 834-0873
	(770) 834-6118

Map and Direction

Physician's Profile

Full Name	Shomari Andre Ruffin
Gender	Male
Speciality	Orthopedic Surgery
Experience	17 Years
Location	150 Clinic Ave, Carrollton, 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:

Shomari Andre Ruffin attended and graduated from Medical College Of Georgia School Of Medicine in 2008

NPI Data:

NPI Number: 1114185840
Provider Enumeration Date: 05/29/2008
Last Update Date: 10/30/2014

Medicare PECOS Information:

PECOS PAC ID: 0648413922
Enrollment ID: I20140729000721

Medical Identifiers

Medical identifiers for Shomari Andre Ruffin such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1114185840	NPI	-	NPPES
REF000630555	Medicaid	GA

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207XX0005X	Orthopaedic Surgery - Sports Medicine	72107 (Georgia)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Performance Orthopaedics And Sports Medicine	6507107323	2

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. Shomari Andre Ruffin allows following entities to bill medicare on his behalf.

Entity Name	Carrollton Orthopaedic Clinic Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1356483747 PECOS PAC ID: 7810989183 Enrollment ID: O20040330001027

Entity Name	Performance Orthopaedics & Sports Medicine
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1831670322 PECOS PAC ID: 6507107323 Enrollment ID: O20190404001349

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. Shomari Andre Ruffin 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
Shomari Andre Ruffin, MD 150 Clinic Ave, Suite 101, Carrollton, GA 30117-4401 Ph: (770) 834-0873	Shomari Andre Ruffin, MD 150 Clinic Ave, Suite 101, Carrollton, GA 30117-4401 Ph: (770) 834-0873

Reviews and Comments

Orthopaedic Surgery Doctors in Carrollton, GA

Dr. Jubal R Watts, M.D. Orthopedic Surgery Medicare: Not Enrolled in Medicare Practice Location: 150 Clinic Ave, Ste 101, Carrollton, GA 30117 Phone: 770-834-0873 Fax: 770-834-6118
Dr. Charles N Hubbard, M.D. Orthopedic Surgery Medicare: Not Enrolled in Medicare Practice Location: 150 Clinic Ave, Ste 101, Carrollton, GA 30117 Phone: 770-834-0873 Fax: 770-834-6118
Dr. Robert O'connell, M.D. Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 150 Clinic Ave Ste 101, Carrollton, GA 30117 Phone: 770-834-0873 Fax: 770-834-6118
Melanie Jordan, Orthopedic Surgery Medicare: Not Enrolled in Medicare Practice Location: 150 Clinic Ave, Suite 101, Carrollton, GA 30117 Phone: 678-601-5220
Dr. Gregory S Slappey, MD Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 150 Clinic Ave, Suite 101, Carrollton, GA 30117 Phone: 770-834-0873
Daniel Lee Maxwell, Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 150 Clinic Ave Ste 101, Carrollton, GA 30117 Phone: 770-834-0873 Fax: 770-834-6118

Shomari Andre Ruffin, MD - Medicare Orthopedic Surgery in Carrollton, GA