Dr Hisham Fozi Qutob, MD in Gainesville, GA - Medicare Pulmonary Disease

Dr Hisham Fozi Qutob, MD is a medicare enrolled "Internal Medicine - Pulmonary Disease" physician in Gainesville, Georgia. He went to University Of Utah School Of Medicine and graduated in 2008 and has 16 years of diverse experience with area of expertise as Pulmonary Disease. He is a member of the group practice Northeast Georgia Physicians Group Inc and his current practice location is 743 Spring St Ne, Gainesville, Georgia. You can reach out to his office (for appointments etc.) via phone at (770) 219-9000.

Dr Hisham Fozi Qutob is licensed to practice in Georgia (license number 86852) 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 1578723177.

Contact Information

	Dr Hisham Fozi Qutob, MD
	743 Spring St Ne, Gainesville, GA 30501-3715
	(770) 219-9000
	Not Available

Map and Direction

Physician's Profile

Full Name	Dr Hisham Fozi Qutob
Gender	Male
Speciality	Pulmonary Disease
Experience	16 Years
Location	743 Spring St Ne, Gainesville, 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 Hisham Fozi Qutob attended and graduated from University Of Utah School Of Medicine in 2008

NPI Data:

NPI Number: 1578723177
Provider Enumeration Date: 06/17/2008
Last Update Date: 02/15/2021

Medicare PECOS Information:

PECOS PAC ID: 4880813625
Enrollment ID: I20201125002485

Medical Identifiers

Medical identifiers for Dr Hisham Fozi Qutob such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1578723177	NPI	-	NPPES
Q006605	Medicaid	TN

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207RC0200X	Internal Medicine - Critical Care Medicine	50856 (Tennessee)	Secondary
207RP1001X	Internal Medicine - Pulmonary Disease	50856 (Tennessee)	Secondary
207RP1001X	Internal Medicine - Pulmonary Disease	86852 (Georgia)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Northeast Georgia Medical Center, Inc	Gainesville, GA	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Northeast Georgia Physicians Group Inc	6901898386	646

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 Hisham Fozi Qutob allows following entities to bill medicare on his behalf.

Entity Name	Northeast Georgia Physicians Group Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1891745212 PECOS PAC ID: 6901898386 Enrollment ID: O20040402001277

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 Hisham Fozi Qutob 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 Hisham Fozi Qutob, MD Po Box 742616, Atlanta, GA 30374-2616 Ph: (770) 219-8420	Dr Hisham Fozi Qutob, MD 743 Spring St Ne, Gainesville, GA 30501-3715 Ph: (770) 219-9000

Reviews and Comments

Internal Medicine Doctors in Gainesville, GA

James D Jackson, M.D. Pulmonary Disease Medicare: Medicare Enrolled Practice Location: 1285 Sims St, Gainesville, GA 30501 Phone: 770-219-8583
Eileen Javellana, MD Pulmonary Disease Medicare: Accepting Medicare Assignments Practice Location: 725 Jesse Jewell Pkwy Se, Gainesville, GA 30501 Phone: 678-207-4373 Fax: 770-533-4727
Dr. Nitya S Chandra, MD Pulmonary Disease Medicare: Accepting Medicare Assignments Practice Location: 200 S Enota Dr Ne Ste 100, Gainesville, GA 30501 Phone: 770-534-2020 Fax: 770-534-8025
Dr. Lisa Armsrees Gillespie, M.D. Pulmonary Disease Medicare: Accepting Medicare Assignments Practice Location: 743 Spring St Ne, Gainesville, GA 30501 Phone: 770-219-8420
Dr. Noelle Claudine Stanley, MD Pulmonary Disease Medicare: Medicare Enrolled Practice Location: 1211 Sherwood Park Dr Ne Ste B, Gainesville, GA 30501 Phone: 770-219-9179
Kedric Naylor, Pulmonary Disease Medicare: Accepting Medicare Assignments Practice Location: 743 Spring St Ne, Gainesville, GA 30501 Phone: 770-219-9000 Fax: 770-538-7872
Dr. William Nathan Blake, M.D. Pulmonary Disease Medicare: Accepting Medicare Assignments Practice Location: 743 Spring St Ne, Ngpg Inpatient Medicine, Gainesville, GA 30501 Phone: 770-219-6000 Fax: 770-219-6021

Dr Hisham Fozi Qutob, MD - Medicare Pulmonary Disease in Gainesville, GA