Dr Hasan Khosravi, MD is a medicare enrolled "Dermatology" physician in Peachtree Corners, Georgia. He went to Harvard Medical School and graduated in 2017 and has 9 years of diverse experience with area of expertise as Dermatology. He is a member of the group practice North Atlanta Dermatology and his current practice location is
6460 Spalding Dr Ste A, Peachtree Corners, Georgia. You can reach out to his office (for appointments etc.) via phone at
(678) 890-8035.
Dr Hasan Khosravi is licensed to practice in Georgia (license number 101902) and he also participates in the medicare program. He
accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1649790627.
Physician's Profile
| Full Name | Dr Hasan Khosravi |
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| Gender | Male |
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| Speciality | Dermatology |
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| Experience | 9 Years |
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| Location | 6460 Spalding Dr Ste A, Peachtree Corners, Georgia |
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| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Dr Hasan Khosravi attended and graduated from Harvard Medical School in 2017
NPI Data:
- NPI Number: 1649790627
- Provider Enumeration Date: 06/21/2017
- Last Update Date: 09/24/2026
Medicare PECOS Information:
- PECOS PAC ID: 9335411370
- Enrollment ID: I20241012000349
Medical Identifiers
Medical identifiers for Dr Hasan Khosravi such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1649790627 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207N00000X | Dermatology | 101902 (Georgia) | Primary |
| 207N00000X | Dermatology | 036.155306 (Illinois) | Secondary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| North Atlanta Dermatology | 2163310533 | 17 |
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 Hasan Khosravi allows following entities to bill medicare on his behalf.
| Entity Name | North Atlanta Dermatology |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1427040799
PECOS PAC ID: 2163310533
Enrollment ID: O20040308000630 |
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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 Hasan Khosravi 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 |
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Dr Hasan Khosravi, MD
6460 Spalding Dr Ste A,
Peachtree Corners, GA 30092-1805
Ph: (678) 890-8035 | Dr Hasan Khosravi, MD
6460 Spalding Dr Ste A,
Peachtree Corners, GA 30092-1805
Ph: (678) 890-8035 |
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