David Israel Mederos, DO is a medicare enrolled "Hospitalist" physician in Thomasville, Georgia. He went to Philadelphia College Of Osteopathic Medicine and graduated in 2011 and has 13 years of diverse experience with area of expertise as Internal Medicine. He is a member of the group practice Southland Hospitalist Group, Llc and his current practice location is
915 Gordon Ave, Thomasville, Georgia. You can reach out to his office (for appointments etc.) via phone at
(229) 228-2597.
David Israel Mederos is licensed to practice in Georgia (license number 73031) 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 1154629640.
Physician's Profile
Full Name | David Israel Mederos |
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Gender | Male |
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Speciality | Internal Medicine |
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Experience | 13 Years |
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Location | 915 Gordon Ave, Thomasville, 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. |
Medical Education and Training:
- David Israel Mederos attended and graduated from Philadelphia College Of Osteopathic Medicine in 2011
NPI Data:
- NPI Number: 1154629640
- Provider Enumeration Date: 03/07/2011
- Last Update Date: 08/10/2015
Medicare PECOS Information:
- PECOS PAC ID: 2062638224
- Enrollment ID: I20150318000780
Medical Identifiers
Medical identifiers for David Israel Mederos such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1154629640 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207R00000X | Internal Medicine | 34.011211 (Ohio) | Secondary |
208M00000X | Hospitalist | 73031 (Georgia) | Primary |
Medical Facilities Affiliation
Group Practice Association
Group Practice Name | Group PECOS PAC ID | No. of Members |
Southland Hospitalist Group, Llc | 8022272913 | 26 |
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. David Israel Mederos allows following entities to bill medicare on his behalf.
Entity Name | Southland Hospitalist Group, Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1386910586 PECOS PAC ID: 8022272913 Enrollment ID: O20120605000373 |
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Entity Name | Southland Emergency Medical Services Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1477701472 PECOS PAC ID: 3779701743 Enrollment ID: O20140904001715 |
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Entity Name | Southland Bainbridge Hospitalist Group, Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1356735336 PECOS PAC ID: 7214248335 Enrollment ID: O20150616002069 |
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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. David Israel Mederos 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 |
David Israel Mederos, DO 100 S Madison St, Thomasville, GA 31792-5473 Ph: () - | David Israel Mederos, DO 915 Gordon Ave, Thomasville, GA 31792-6614 Ph: (229) 228-2597 |
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