Dr Jelani Conway, AUD is a medicare enrolled "Audiologist" provider in Jonesboro, Georgia. She graduated from medical school in 2021 and has 3 years of diverse experience with area of expertise as Qualified Audiologist. She is a member of the group practice The Southeast Permanente Medical Group and her current practice location is
2470 Mount Zion Pkwy, Jonesboro, Georgia. You can reach out to her office (for appointments etc.) via phone at
(800) 611-1811.
Dr Jelani Conway is licensed to practice in Georgia (license number AUD004280) 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 1649841644.
Healthcare Provider's Profile
Full Name | Dr Jelani Conway |
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Gender | Female |
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Speciality | Qualified Audiologist |
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Experience | 3 Years |
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Location | 2470 Mount Zion Pkwy, Jonesboro, Georgia |
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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:
- Dr Jelani Conway graduated from medical school in 2021
NPI Data:
- NPI Number: 1649841644
- Provider Enumeration Date: 07/09/2021
- Last Update Date: 03/21/2024
Medicare PECOS Information:
- PECOS PAC ID: 8123422698
- Enrollment ID: I20210805000156
Medical Identifiers
Medical identifiers for Dr Jelani Conway such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1649841644 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
231H00000X | Audiologist | AUD004280 (Georgia) | Primary |
Group Practice Association
Group Practice Name | Group PECOS PAC ID | No. of Members |
The Southeast Permanente Medical Group | 6204829013 | 576 |
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 Jelani Conway allows following entities to bill medicare on her behalf.
Provider Name | The Southeast Permanente Medical Group |
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Provider Type | Part B Supplier - Clinic/group Practice |
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Provider Identifiers | NPI Number: 1245266956 PECOS PAC ID: 6204829013 Enrollment ID: O20040407000370 |
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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. Dr Jelani Conway 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 |
Dr Jelani Conway, AUD 2675 Knollberry Ln, Decatur, GA 30034-3240 Ph: (770) 875-9147 | Dr Jelani Conway, AUD 2470 Mount Zion Pkwy, Jonesboro, GA 30236-2500 Ph: (800) 611-1811 |
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