Diane Leigh Wisebram, MD - Medicare Internal Medicine in Atlanta, GA

Diane Leigh Wisebram, MD is a medicare enrolled "Internal Medicine - Gastroenterology" physician in Atlanta, Georgia. Her current practice location is 980 Johnson Ferry Rd Ne, Suite 820, Atlanta, Georgia. You can reach out to her office (for appointments etc.) via phone at (404) 252-9307.

Diane Leigh Wisebram is licensed to practice in Georgia (license number 022195) 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 1518927110.

Contact Information

Diane Leigh Wisebram, MD
980 Johnson Ferry Rd Ne, Suite 820,
Atlanta, GA 30342-1626
(404) 252-9307
(404) 252-5839

Map and Direction




Physician's Profile

Full NameDiane Leigh Wisebram
GenderFemale
SpecialityInternal Medicine - Gastroenterology
Location980 Johnson Ferry Rd Ne, Atlanta, Georgia
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1518927110
  • Provider Enumeration Date: 03/27/2006
  • Last Update Date: 01/10/2014
  Medicare PECOS Information:
  • PECOS PAC ID: 7315953262
  • Enrollment ID: I20100506000899

Medical Identifiers

Medical identifiers for Diane Leigh Wisebram such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1518927110NPI-NPPES
CB5609OtherRRMEDICARE

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207RG0100XInternal Medicine - Gastroenterology 022195 (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. Diane Leigh Wisebram allows following entities to bill medicare on her behalf.
Entity NameAga Professional Services Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1063799120
PECOS PAC ID: 3870768997
Enrollment ID: O20111219000311

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. Diane Leigh Wisebram 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
Diane Leigh Wisebram, MD
550 Peachtree St Ne, Suite 1600,
Atlanta, GA 30308-2208

Ph: (404) 881-1099
Diane Leigh Wisebram, MD
980 Johnson Ferry Rd Ne, Suite 820,
Atlanta, GA 30342-1626

Ph: (404) 252-9307

Reviews and Comments


Internal Medicine Doctors in Atlanta, GA

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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.