- Medicare in Griffin, GA

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is a medicare enrolled "Ophthalmology" provider in Griffin, Georgia. Their current practice location is 646 S 8th St, Griffin, Georgia. You can reach out to their office (for appointments etc.) via phone at (770) 228-3836.

is licensed to practice in * (Not Available) (license number ) and it also participates in the medicare program. is enrolled with medicare and should accept medicare assignments and since they are enrolled in medicare, they may order Medicare Part D Prescription drugs, if eligible. The facility's NPI Number is 1568665404.

Contact Information

646 S 8th St,
Griffin, GA 30224-4214
(770) 228-3836
(770) 412-1733

Map and Direction




Healthcare Provider's Profile

Full Name
TypeFacility
SpecialityOphthalmology
Location646 S 8th St, Griffin, Georgia
Accepts Medicare AssignmentsMedicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1568665404
  • Provider Enumeration Date: 06/07/2007
  • Last Update Date: 11/30/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 2062400286
  • Enrollment ID: O20040505000509

Medical Identifiers

Medical identifiers for such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1568665404NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
152W00000XOptometrist (* (Not Available))Secondary
207W00000XOphthalmology (* (Not Available))Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. acts as a billing entity for following providers:
Provider NameLeiv M Takle
Provider TypePractitioner - Ophthalmology
Provider IdentifiersNPI Number: 1609807445
PECOS PAC ID: 7719990134
Enrollment ID: I20060801000022
Provider NameRuchi P Gandhi
Provider TypePractitioner - Optometry
Provider IdentifiersNPI Number: 1306214655
PECOS PAC ID: 3173827524
Enrollment ID: I20160802002917
Provider NameAndrew Coggin
Provider TypePractitioner - Ophthalmology
Provider IdentifiersNPI Number: 1518307081
PECOS PAC ID: 7719372960
Enrollment ID: I20220324002423
Provider NameAmit Bajaj
Provider TypePractitioner - Ophthalmology
Provider IdentifiersNPI Number: 1144783143
PECOS PAC ID: 6204294739
Enrollment ID: I20240731002706
Provider NameVladislav Ivanchenko
Provider TypePractitioner - Optometry
Provider IdentifiersNPI Number: 1497210009
PECOS PAC ID: 4385175926
Enrollment ID: I20241007001711

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. 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

646 S 8th St,
Griffin, GA 30224-4214

Ph: (770) 228-3836
646 S 8th St,
Griffin, GA 30224-4214

Ph: (770) 228-3836

Reviews and Comments



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).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.