Mujtaba S Sheikh, MD is a medicare enrolled "Pediatrics" physician in Braselton, Georgia. His current practice location is
1270 Friendship Rd, Braselton, Georgia. You can reach out to his office (for appointments etc.) via phone at
(678) 207-4200.
Mujtaba S Sheikh is licensed to practice in Georgia (license number 055702) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1770685547.
Physician's Profile
| Full Name | Mujtaba S Sheikh |
|---|
| Gender | Male |
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| Speciality | Pediatrics |
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| Location | 1270 Friendship Rd, Braselton, Georgia |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1770685547
- Provider Enumeration Date: 09/02/2006
- Last Update Date: 08/17/2023
Medicare PECOS Information:
- PECOS PAC ID: 7517907413
- Enrollment ID: I20050510001007
Medical Identifiers
Medical identifiers for Mujtaba S Sheikh such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1770685547 | NPI | - | NPPES |
| 2928517070C | Medicaid | GA | |
| 424208 | Other | GA | WELLCARE |
| 01191774 | Other | GA | AMERIGROUP |
| 2928517070B | Medicaid | GA | |
| 582117020024 | Other | GA | TRICARE |
| 424145 | Other | GA | WELLCARE |
| 582117020030 | Other | GA | TRICARE |
| 2928517070D | Medicaid | GA | |
| 52703777 | Other | GA | BCBS |
| 530652 | Other | GA | WELLCARE |
| 582117020 | Other | GA | TRICARE |
| 2928517070F | Medicaid | GA | |
| 454241 | Other | GA | WELLCARE |
| 4858323 | Other | GA | CIGNA |
| 582117020018 | Other | GA | TRICARE |
| 7955625 | Other | GA | AETNA |
| 2928517070E | Medicaid | GA | |
| 454249 | Other | GA | WELLCARE |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 208000000X | Pediatrics | 055702 (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. Mujtaba S Sheikh allows following entities to bill medicare on his behalf.
| Entity Name | The Longstreet Clinic, Pc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1326019977
PECOS PAC ID: 2668465733
Enrollment ID: O20040405001521 |
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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. Mujtaba S Sheikh 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 |
|---|
Mujtaba S Sheikh, MD
Po Box 658,
Gainesville, GA 30503-0658
Ph: (770) 718-1122 | Mujtaba S Sheikh, MD
1270 Friendship Rd,
Braselton, GA 30517-5630
Ph: (678) 207-4200 |
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