Mary Jackson Mosley, MD in Decatur, GA - Medicare Internal Medicine

Mary Jackson Mosley, MD is a medicare enrolled "Internal Medicine" physician in Decatur, Georgia. Her current practice location is 2701 N Decatur Rd, Decatur, Georgia. You can reach out to her office (for appointments etc.) via phone at (404) 501-5422.

Mary Jackson Mosley is licensed to practice in Georgia (license number 45252) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1558459479.

Contact Information

	Mary Jackson Mosley, MD
	2701 N Decatur Rd, Decatur, GA 30033-5918
	(404) 501-5422
	(404) 501-1771

Map and Direction

Physician's Profile

Full Name	Mary Jackson Mosley
Gender	Female
Speciality	Internal Medicine
Location	2701 N Decatur Rd, Decatur, Georgia
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1558459479
Provider Enumeration Date: 10/10/2006
Last Update Date: 04/13/2022

Medicare PECOS Information:

PECOS PAC ID: 8224028055
Enrollment ID: I20040514000112

Medical Identifiers

Medical identifiers for Mary Jackson Mosley such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1558459479	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207R00000X	Internal Medicine	45252 (Georgia)	Primary

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. Mary Jackson Mosley allows following entities to bill medicare on her behalf.

Entity Name	The Southeast Permanente Medical Group
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI 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. Mary Jackson Mosley 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
Mary Jackson Mosley, MD Po Box 403631, Atlanta, GA 30384-3631 Ph: (770) 740-0895	Mary Jackson Mosley, MD 2701 N Decatur Rd, Decatur, GA 30033-5918 Ph: (404) 501-5422

Reviews and Comments

Internal Medicine Doctors in Decatur, GA

Dr. Ned Wilson Holland, MD Internal Medicine Medicare: Medicare Enrolled Practice Location: 1670 Clairmont Rd, Vamc - 11b, Decatur, GA 30033 Phone: 404-321-6111 Fax: 404-728-4703
Cedrella Carol Jones-taylor, M.D. Internal Medicine Medicare: Medicare Enrolled Practice Location: 1670 Clairmont Rd, Primary Care, Decatur, GA 30033 Phone: 404-321-6111
Dr. Gary Robert Botstein, M.D. Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 2712 N Decatur Rd, Decatur, GA 30033 Phone: 404-299-0187 Fax: 404-292-2766
Priti Rajnikant Patel, M.D. Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 1670 Clairmont Road, Primary Care, Decatur, GA 30033 Phone: 404-321-6111
John Oliga, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 4153b Flat Shoals Pkwy, Ste 200, Decatur, GA 30034 Phone: 404-585-5049 Fax: 404-591-0292
Dr. Pojnicha Mekaroonkamol, M.D. Internal Medicine Medicare: Medicare Enrolled Practice Location: 2124 Candler Road, Jencare Neighborhood Medical Center South Dekalb, Llc, Decatur, GA 30032 Phone: 404-836-0272 Fax: 404-836-0289
Dr. Charles Michael Hart, MD Internal Medicine Medicare: Medicare Enrolled Practice Location: 1670 Clairmont Rd, 151-p, Decatur, GA 30033 Phone: 404-321-6111 Fax: 404-728-7750

Mary Jackson Mosley, MD - Medicare Internal Medicine in Decatur, GA