Dr Praya Mam, DPM is a medicare enrolled "Podiatrist - Foot & Ankle Surgery" provider in Locust Grove, Georgia. He went to Kent State University College Of Podiatric Medicine and graduated in 1992 and has 32 years of diverse experience with area of expertise as Podiatry. He is a member of the group practice American Foot And Leg Specialists, P.c. and his current practice location is
4877 Bill Gardner Pkwy, Locust Grove, Georgia. You can reach out to his office (for appointments etc.) via phone at
(404) 363-9944.
Dr Praya Mam is licensed to practice in Georgia (license number 00723) 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 1710964408.
Healthcare Provider's Profile
| Full Name | Dr Praya Mam |
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| Gender | Male |
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| Speciality | Podiatry |
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| Experience | 32 Years |
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| Location | 4877 Bill Gardner Pkwy, Locust Grove, Georgia |
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| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Dr Praya Mam attended and graduated from Kent State University College Of Podiatric Medicine in 1992
NPI Data:
- NPI Number: 1710964408
- Provider Enumeration Date: 12/23/2005
- Last Update Date: 07/23/2018
Medicare PECOS Information:
- PECOS PAC ID: 8921172560
- Enrollment ID: I20080731000136
Medical Identifiers
Medical identifiers for Dr Praya Mam such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1710964408 | NPI | - | NPPES |
| 00614105A | Medicaid | GA | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 213ES0103X | Podiatrist - Foot & Ankle Surgery | 00723 (Georgia) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| American Foot And Leg Specialists, P.c. | 9436140555 | 6 |
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. Dr Praya Mam allows following entities to bill medicare on his behalf.
| Provider Name | American Foot & Leg Specialists, P.c. |
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| Provider Type | Part B Supplier - Clinic/group Practice |
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| Provider Identifiers | NPI Number: 1740324037
PECOS PAC ID: 9436140555
Enrollment ID: O20040519000217 |
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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. Dr Praya Mam 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 |
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Dr Praya Mam, DPM
425 Forest Pkwy, Suite 101,
Forest Park, GA 30297-2185
Ph: (404) 363-9944 | Dr Praya Mam, DPM
4877 Bill Gardner Pkwy,
Locust Grove, GA 30248
Ph: (404) 363-9944 |
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