Mitra Poorak, MD in Conyers, GA - Medicare General Surgery

Mitra Poorak, MD is a medicare enrolled "Surgery" physician in Conyers, Georgia. She went to Medical College Of Georgia School Of Medicine and graduated in 2015 and has 9 years of diverse experience with area of expertise as General Surgery. She is a member of the group practice Sarah Bush Lincoln Health Center and her current practice location is 1301 Sigman Rd Ne Ste 180, Conyers, Georgia. You can reach out to her office (for appointments etc.) via phone at (770) 922-4024.

Mitra Poorak is licensed to practice in Illinois (license number 036-161760) 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 1881072940.

Contact Information

	Mitra Poorak, MD
	1301 Sigman Rd Ne Ste 180, Conyers, GA 30012-3924
	(770) 922-4024
	Not Available

Map and Direction

Physician's Profile

Full Name	Mitra Poorak
Gender	Female
Speciality	General Surgery
Experience	9 Years
Location	1301 Sigman Rd Ne Ste 180, Conyers, Georgia
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Mitra Poorak attended and graduated from Medical College Of Georgia School Of Medicine in 2015

NPI Data:

NPI Number: 1881072940
Provider Enumeration Date: 05/09/2015
Last Update Date: 10/30/2023

Medicare PECOS Information:

PECOS PAC ID: 0547557159
Enrollment ID: I20220901000568

Medical Identifiers

Medical identifiers for Mitra Poorak such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1881072940	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208600000X	Surgery	008421 (Georgia)	Secondary
208600000X	Surgery	036-161760 (Illinois)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Sarah Bush Lincoln Health Center	Mattoon, IL	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Sarah Bush Lincoln Health Center	5092614867	308

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. Mitra Poorak allows following entities to bill medicare on her behalf.

Entity Name	Sarah Bush Lincoln Health Center
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1669564662 PECOS PAC ID: 5092614867 Enrollment ID: O20031231000478

Entity Name	Central Dupage Physician Group
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1033149844 PECOS PAC ID: 5890696231 Enrollment ID: O20040303000601

Entity Name	Osf Multi-specialty Group
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1922445527 PECOS PAC ID: 3678889789 Enrollment ID: O20150904000279

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. Mitra Poorak 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
Mitra Poorak, MD 1444 Valley View Rd, Atlanta, GA 30338-4825 Ph: (404) 516-1024	Mitra Poorak, MD 1301 Sigman Rd Ne Ste 180, Conyers, GA 30012-3924 Ph: (770) 922-4024

Reviews and Comments

Surgery Doctors in Conyers, GA

Andrew S Harper, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 1364 Wellbrook Cir Ne, Conyers, GA 30012 Phone: 770-922-4024 Fax: 770-761-7179
Donald Maynard, MD Surgery Medicare: May Accept Medicare Assignments Practice Location: 1612b Milstead Rd Ne, Conyers, GA 30012 Phone: 770-602-1292 Fax: 770-602-1296
George Isshak, M.D. Surgery Medicare: Not Enrolled in Medicare Practice Location: 1372 Wellbrook Cir Ne, Conyers, GA 30012 Phone: 770-922-4024 Fax: 770-922-8143
Carl Gonzales Ii, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 1301 Sigman Rd Ne, Suite 130, Conyers, GA 30012 Phone: 678-609-4927 Fax: 678-609-4928
Kathryn Marie Swanson, MD Surgery Medicare: Medicare Enrolled Practice Location: 1412 Milstead Ave Ne Ste 100, Conyers, GA 30012 Phone: 770-483-9330
Dr. Kimberly A Singh, MD Surgery Medicare: May Accept Medicare Assignments Practice Location: 1368 Wellbrook Cir Ne, Suite B, Conyers, GA 30012 Phone: 770-929-0634 Fax: 770-929-8716
Dr. Robert C Davies, M.D. Surgery Medicare: Not Enrolled in Medicare Practice Location: 1301 Sigman Rd Ne, Suite 130, Conyers, GA 30012 Phone: 678-609-4927 Fax: 678-806-5004

Mitra Poorak, MD - Medicare General Surgery in Conyers, GA