Dr Hasan Khosravi, MD in Marietta, GA

Dr Hasan Khosravi, MD is a medicare enrolled "Dermatology" physician in Marietta, 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 1519 Johnson Ferry Rd Ste 175, Marietta, Georgia. You can reach out to his office (for appointments etc.) via phone at (770) 814-8222.

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.

Contact Information

	Dr Hasan Khosravi, MD
	1519 Johnson Ferry Rd Ste 175, Marietta, GA 30062-6411
	(770) 814-8222
	(678) 205-5111

Map and Direction

Physician's Profile

Full Name	Dr Hasan Khosravi
Gender	Male
Speciality	Dermatology
Experience	9 Years
Location	1519 Johnson Ferry Rd Ste 175, Marietta, Georgia
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

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: 06/08/2026

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
1649790627	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
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
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1427040799 PECOS PAC ID: 2163310533 Enrollment ID: O20040308000630

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
Dr Hasan Khosravi, MD Po Box 23329, New York, NY 10087-3329 Ph: () -	Dr Hasan Khosravi, MD 1519 Johnson Ferry Rd Ste 175, Marietta, GA 30062-6411 Ph: (770) 814-8222

Reviews and Comments

Dermatology Doctors in Marietta, GA

Jordan Thompson, M.D. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 835 Cogburn Avenue, Suite 100, Marietta, GA 30060 Phone: 770-422-5557 Fax: 770-422-5456
Ms. Onaopemipo Olayide Ofodile, M.D. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 4800 Olde Towne Pkwy Ste 250, Marietta, GA 30068 Phone: 770-971-3376
Jennifer L Jones, M.D. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 835 Cogburn Avenue, Suite 100, Marietta, GA 30060 Phone: 770-422-5557 Fax: 770-422-5458
Dr. Alan M Gardner, M.D. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 2550 Windy Hill Rd Se, Suite 220, Marietta, GA 30067 Phone: 770-952-2100 Fax: 770-850-9712
Dr. Matthew Preston Hughes, M.D Dermatology Medicare: Accepting Medicare Assignments Practice Location: 835 Cogburn Ave Nw, Suite 250, Marietta, GA 30060 Phone: 770-422-8815 Fax: 770-422-8816
Dr. Jennifer Louise Buckley, MD Dermatology Medicare: Accepting Medicare Assignments Practice Location: 835 Cogburn Ave Nw, Suite 100, Marietta, GA 30060 Phone: 770-422-5557 Fax: 770-422-5456
Reagan Brooke Morgan, PA-C Dermatology Medicare: Accepting Medicare Assignments Practice Location: 111 Marble Mill Rd Nw, Marietta, GA 30060 Phone: 770-422-1013 Fax: 770-514-5996

Dr Hasan Khosravi, MD - Medicare Dermatology in Marietta, GA