Dr Amarachukwu Imediegwu Osisanya, MD - Medicare Emergency Medicine in Fayetteville, GA

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Dr Amarachukwu Imediegwu Osisanya, MD is a medicare enrolled "Emergency Medicine" physician in Fayetteville, Georgia. She graduated from medical school in 2012 and has 12 years of diverse experience with area of expertise as Emergency Medicine. She is a member of the group practice The Southeast Permanente Medical Group and her current practice location is 1255 Highway 54 W, Fayetteville, Georgia. You can reach out to her office (for appointments etc.) via phone at (770) 719-6911.

Dr Amarachukwu Imediegwu Osisanya is licensed to practice in Georgia (license number 073964) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1275899106.

Contact Information

Dr Amarachukwu Imediegwu Osisanya, MD
1255 Highway 54 W,
Fayetteville, GA 30214-4526
(770) 719-6911
Not Available

Map and Direction




Physician's Profile

Full NameDr Amarachukwu Imediegwu Osisanya
GenderFemale
SpecialityEmergency Medicine
Experience12 Years
Location1255 Highway 54 W, Fayetteville, Georgia
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Dr Amarachukwu Imediegwu Osisanya graduated from medical school in 2012
  NPI Data:
  • NPI Number: 1275899106
  • Provider Enumeration Date: 04/04/2012
  • Last Update Date: 02/06/2022
  Medicare PECOS Information:
  • PECOS PAC ID: 5698082998
  • Enrollment ID: I20150918001896

Medical Identifiers

Medical identifiers for Dr Amarachukwu Imediegwu Osisanya such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1275899106NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207P00000XEmergency Medicine 073964 (Georgia)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
The Southeast Permanente Medical Group6204829013576

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 Amarachukwu Imediegwu Osisanya allows following entities to bill medicare on her behalf.
Entity NameEmerginet Srmc, Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1538118344
PECOS PAC ID: 9436062973
Enrollment ID: O20031110000743
Entity NameEmerginet Henry, Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1811946627
PECOS PAC ID: 4981594900
Enrollment ID: O20040316000137
Entity NameThe Southeast Permanente Medical Group
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1245266956
PECOS PAC ID: 6204829013
Enrollment ID: O20040407000370

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 Amarachukwu Imediegwu Osisanya 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
Dr Amarachukwu Imediegwu Osisanya, MD
1255 Highway 54 W,
Fayetteville, GA 30214-4526

Ph: (770) 719-6911		Dr Amarachukwu Imediegwu Osisanya, MD
1255 Highway 54 W,
Fayetteville, GA 30214-4526

Ph: (770) 719-6911

Reviews and Comments


Emergency Medicine Doctors in Fayetteville, GA

Dr. Robin Lowman White,
Emergency Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 1255 Highway 54 W, Fayetteville, GA 30214
Phone: 770-719-6911    
Dr. Chionesu Sonyika, MD
Emergency Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 1255 Highway 54 W, Fayetteville, GA 30214
Phone: 770-229-6911    
Dr. Salih O Faldon, M.D.
Emergency Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 101 Beckett Ln, 506, Fayetteville, GA 30214
Phone: 678-817-9255    Fax: 678-817-9295
Frank Brown, MD
Emergency Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 8 Eastbrook Bend, Suite B, Fayetteville, GA 30214
Phone: 404-605-3297    
Brooke Augustin-coley, MD
Emergency Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 1255 Highway 54 W, Fayetteville, GA 30214
Phone: 770-719-6911    
Wayne Williams, MD
Emergency Medicine
Medicare: Medicare Enrolled
Practice Location: 284 Highway 314 Ste E, Fayetteville, GA 30214
Phone: 770-964-0611    Fax: 770-964-0608

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.