Southeastern Endocrine & Diabetes, P.c. - Medicare Primary Care in Roswell, GA

Southeastern Endocrine & Diabetes, P.c. is a medicare enrolled primary clinic (Internal Medicine - Endocrinology, Diabetes & Metabolism) in Roswell, Georgia. The current practice location for Southeastern Endocrine & Diabetes, P.c. is 1475 Holcomb Bridge Rd, Suite 129, Roswell, Georgia. For appointments, you can reach them via phone at (678) 325-2250. The mailing address for Southeastern Endocrine & Diabetes, P.c. is 1475 Holcomb Bridge Rd, Suite 129, Roswell, Georgia and phone number is (678) 325-2250.

Southeastern Endocrine & Diabetes, P.c. is licensed to practice in * (Not Available) (license number ). The clinic also participates in the medicare program and its NPI number is 1598746059. This medical practice accepts medicare insurance (which means this clinic accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance). However, please confirm if they accept your insurance at (678) 325-2250.

Contact Information

Southeastern Endocrine & Diabetes, P.c.
1475 Holcomb Bridge Rd
Suite 129
Roswell
GA 30076-2139
(678) 325-2250
(678) 325-2261

Map and Direction


Primary Care Clinic Profile

Full NameSoutheastern Endocrine & Diabetes, P.c.
SpecialityInternal Medicine
Location1475 Holcomb Bridge Rd, Roswell, Georgia
Authorized Official Name and PositionAnn R Rosenbaum (PRACTICE ADMINISTRATOR)
Authorized Official Contact6783252250
Accepts Medicare InsuranceYes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Southeastern Endocrine & Diabetes, P.c.
1475 Holcomb Bridge Rd
Suite 129
Roswell
GA 30076-2139

Ph: (678) 325-2250
Southeastern Endocrine & Diabetes, P.c.
1475 Holcomb Bridge Rd
Suite 129
Roswell
GA 30076-2139

Ph: (678) 325-2250

NPI Details:

NPI Number1598746059
Provider Enumeration Date11/10/2005
Last Update Date02/01/2021

Medicare PECOS Information:

Medicare PECOS PAC ID7214925023
Medicare Enrollment IDO20040503000107

Medical Identifiers

Medical identifiers for Southeastern Endocrine & Diabetes, P.c. such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1598746059NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207RE0101XInternal Medicine - Endocrinology, Diabetes & Metabolism (* (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. Southeastern Endocrine & Diabetes, P.c. acts as a billing entity for following providers:
Provider NameDonni L Jester
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1447231907
PECOS PAC ID: 8123059185
Enrollment ID: I20050830000130
Provider NameJohn C Reed
Provider TypePractitioner - Endocrinology
Provider IdentifiersNPI Number: 1194706531
PECOS PAC ID: 8628007283
Enrollment ID: I20050830000137
Provider NameMuhammad F Siddiqui
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1740578665
PECOS PAC ID: 8921237116
Enrollment ID: I20150218001147
Provider NameEileen Clare Borkovich
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1043529829
PECOS PAC ID: 9133511710
Enrollment ID: I20220111000420
Provider NameErin Alicebelle Dever
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1619462553
PECOS PAC ID: 2769869361
Enrollment ID: I20220520001271

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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.