Ashwini Prabhakar Gore, MD - Medicare Endocrinology in Macon, GA

Ashwini Prabhakar Gore, MD is a medicare enrolled "Internal Medicine - Endocrinology, Diabetes & Metabolism" physician in Macon, Georgia. She graduated from medical school in 2001 and has 23 years of diverse experience with area of expertise as Endocrinology. She is a member of the group practice Thomas C Jones, M.d., P.c. and her current practice location is 265 Sheraton Blvd, Macon, Georgia. You can reach out to her office (for appointments etc.) via phone at (478) 746-8626.

Ashwini Prabhakar Gore is licensed to practice in South Carolina (license number 31585) 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 1457373565.

Contact Information

Ashwini Prabhakar Gore, MD
265 Sheraton Blvd,
Macon, GA 31210
(478) 746-8626
(478) 746-0491

Map and Direction




Physician's Profile

Full NameAshwini Prabhakar Gore
GenderFemale
SpecialityEndocrinology
Experience23 Years
Location265 Sheraton Blvd, Macon, Georgia
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Ashwini Prabhakar Gore graduated from medical school in 2001
  NPI Data:
  • NPI Number: 1457373565
  • Provider Enumeration Date: 07/25/2006
  • Last Update Date: 06/06/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 5395742001
  • Enrollment ID: I20110912000127

Medical Identifiers

Medical identifiers for Ashwini Prabhakar Gore such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1457373565NPI-NPPES
2859838000OtherPABCBS
2088939OtherPAHIGHMARK BLUE SHIELD

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207RE0101XInternal Medicine - Endocrinology, Diabetes & Metabolism 31585 (South Carolina)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Houston Medical CenterWarner robins, GAHospital
Medical Center, Navicent Health (the)Macon, GAHospital
Upson Regional Medical CenterThomaston, GAHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Thomas C Jones, M.d., P.c.276955803013

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. Ashwini Prabhakar Gore allows following entities to bill medicare on her behalf.
Entity NameThomas C Jones, M.d., P.c.
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1366624199
PECOS PAC ID: 2769558030
Enrollment ID: O20080910000428

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. Ashwini Prabhakar Gore 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
Ashwini Prabhakar Gore, MD
265 Sheraton Blvd,
Macon, GA 31210

Ph: (478) 746-8626
Ashwini Prabhakar Gore, MD
265 Sheraton Blvd,
Macon, GA 31210

Ph: (478) 746-8626

Reviews and Comments


Internal Medicine Doctors in Macon, GA

Mrs. Mary E Mckinley, MD
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Medicare: Accepting Medicare Assignments
Practice Location: 360 Hospital Dr, Suite 110, Macon, GA 31217
Phone: 478-841-2707    Fax: 478-841-2708
Dr. Swathi Singanamala, MD
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Practice Location: 640 Martin Luther King Jr Blvd, Suite 200, Macon, GA 31201
Phone: 478-745-5455    Fax: 478-803-5232
Dr. Sebastian Alan Montgomery, MD
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Practice Location: 380 Hospital Dr Ste 430, Macon, GA 31217
Phone: 478-751-0480    
Sagar Jayant Panse, M.D.
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Medicare: Accepting Medicare Assignments
Practice Location: 890 2nd St, Suite 201, Macon, GA 31201
Phone: 478-745-4322    Fax: 478-750-8789
Dr. Rana K Munna, M.D.
Endocrinology, Diabetes & Metabolism
Medicare: Accepting Medicare Assignments
Practice Location: 107 Preston Ct, Macon, GA 31210
Phone: 478-238-0771    Fax: 478-238-6688
Oliver Wendell Horne Iv, M.D.
Endocrinology, Diabetes & Metabolism
Medicare: Accepting Medicare Assignments
Practice Location: 1062 Forsyth St Ste 1b, Macon, GA 31201
Phone: 478-741-1208    
Thomas P Meyer, MD
Endocrinology, Diabetes & Metabolism
Medicare: Accepting Medicare Assignments
Practice Location: 360 Hospital Dr Bldg D, Suite 200, Macon, GA 31217
Phone: 478-745-5476    Fax: 478-745-3768

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.