Edwin B Tirado Jr, MD - Medicare Internal Medicine in Gainesville, GA

Edwin B Tirado Jr, MD is a medicare enrolled "Internal Medicine" physician in Gainesville, Georgia. He graduated from medical school in 1997 and has 27 years of diverse experience with area of expertise as Internal Medicine. He is a member of the group practice Legacy Healthcare Services Inc, Northeast Georgia Physicians Group Inc and his current practice location is 1315 Jesse Jewell Pkwy Ne, Suite #110, Gainesville, Georgia. You can reach out to his office (for appointments etc.) via phone at (770) 219-0023.

Edwin B Tirado Jr is licensed to practice in Georgia (license number 061866) 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 1265428312.

Contact Information

Edwin B Tirado Jr, MD
1315 Jesse Jewell Pkwy Ne, Suite #110,
Gainesville, GA 30501-3822
(770) 219-0023
(770) 219-0694

Map and Direction




Physician's Profile

Full NameEdwin B Tirado Jr
GenderMale
SpecialityInternal Medicine
Experience27 Years
Location1315 Jesse Jewell Pkwy Ne, Gainesville, Georgia
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Edwin B Tirado Jr graduated from medical school in 1997
  NPI Data:
  • NPI Number: 1265428312
  • Provider Enumeration Date: 09/23/2005
  • Last Update Date: 10/13/2020
  Medicare PECOS Information:
  • PECOS PAC ID: 7315837143
  • Enrollment ID: I20100422000985

Medical Identifiers

Medical identifiers for Edwin B Tirado Jr such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1265428312NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207R00000XInternal Medicine 061866 (Georgia)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Northeast Georgia Medical Center, IncGainesville, GAHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Legacy Healthcare Services Inc21633397222654
Northeast Georgia Physicians Group Inc6901898386646

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. Edwin B Tirado Jr allows following entities to bill medicare on his behalf.
Entity NameNortheast Georgia Physicians Group Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1891745212
PECOS PAC ID: 6901898386
Enrollment ID: O20040402001277

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. Edwin B Tirado Jr 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
Edwin B Tirado Jr, MD
Po Box 742616,
Atlanta, GA 30374-2616

Ph: (770) 219-8420
Edwin B Tirado Jr, MD
1315 Jesse Jewell Pkwy Ne, Suite #110,
Gainesville, GA 30501-3822

Ph: (770) 219-0023

Reviews and Comments


Internal Medicine Doctors in Gainesville, GA

James D Jackson, M.D.
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Phone: 770-219-8583    
Dr. Nitya S Chandra, MD
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Phone: 770-534-2020    Fax: 770-534-8025
Dr. Lisa Armsrees Gillespie, M.D.
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Dr. Noelle Claudine Stanley, MD
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Practice Location: 1211 Sherwood Park Dr Ne Ste B, Gainesville, GA 30501
Phone: 770-219-9179    
Kedric Naylor,
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Practice Location: 743 Spring St Ne, Gainesville, GA 30501
Phone: 770-219-9000    Fax: 770-538-7872
Dr. William Nathan Blake, M.D.
Internal Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 743 Spring St Ne, Ngpg Inpatient Medicine, Gainesville, GA 30501
Phone: 770-219-6000    Fax: 770-219-6021
Roberto Manuel Villanueva, M.D.
Internal Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 1240 Jesse Jewell Pkwy Se, Suite 500, Gainesville, GA 30501
Phone: 770-536-9864    

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.