Dr Kobena Y Waters, MD in Lilburn, GA - Medicare Internal Medicine

Dr Kobena Y Waters, MD is a medicare enrolled "Internal Medicine" physician in Lilburn, Georgia. His current practice location is 5305 Country Lake Ct Sw, Lilburn, Georgia. You can reach out to his office (for appointments etc.) via phone at (301) 651-2211.

Dr Kobena Y Waters is licensed to practice in Georgia (license number 97289) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1699263848.

Contact Information

	Dr Kobena Y Waters, MD
	5305 Country Lake Ct Sw, Lilburn, GA 30047-6760
	(301) 651-2211
	Not Available

Map and Direction

Physician's Profile

Full Name	Dr Kobena Y Waters
Gender	Male
Speciality	Internal Medicine
Location	5305 Country Lake Ct Sw, Lilburn, Georgia
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1699263848
Provider Enumeration Date: 04/24/2018
Last Update Date: 06/17/2025

Medicare PECOS Information:

PECOS PAC ID: 1052768256
Enrollment ID: I20231109001911

Medical Identifiers

Medical identifiers for Dr Kobena Y Waters such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1699263848	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207R00000X	Internal Medicine	97289 (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. Dr Kobena Y Waters allows following entities to bill medicare on his behalf.

Entity Name	Chronic Disease Management Of Georgia Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1699300939 PECOS PAC ID: 7618306721 Enrollment ID: O20200409003695

Entity Name	Hardy Renew Wellness,llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1952914368 PECOS PAC ID: 2961812425 Enrollment ID: O20201112000534

Entity Name	Georgia Mso Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1952196164 PECOS PAC ID: 3173041639 Enrollment ID: O20250519001080

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 Kobena Y Waters 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 Kobena Y Waters, MD 5305 Country Lake Ct Sw, Lilburn, GA 30047-6760 Ph: () -	Dr Kobena Y Waters, MD 5305 Country Lake Ct Sw, Lilburn, GA 30047-6760 Ph: (301) 651-2211

Reviews and Comments

Internal Medicine Doctors in Lilburn, GA

Min Jie Tan, MD Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 455 Beaver Ruin Rd Nw, Lilburn, GA 30047 Phone: 770-923-7778 Fax: 770-923-0180
Jatayah Nicole Sheed, MD Internal Medicine Medicare: Medicare Enrolled Practice Location: 455 Beaver Ruin Rd Nw, Lilburn, GA 30047 Phone: 770-995-3300 Fax: 770-995-0794
Dr. Ofelia C Tablan, M.D. Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 470 Pleasant Hill Rd Nw, Lilburn, GA 30047 Phone: 678-786-1118 Fax: 770-558-1324
Dr. Ngoc Bao Phan, D.O Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 625 Beaver Ruin Rd Nw Ste E, Lilburn, GA 30047 Phone: 678-369-9399 Fax: 833-464-3867
Miss Faith Michelle Gray, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 3993 Lawrenceville Hwy Nw, Suite 115, Lilburn, GA 30047 Phone: 770-806-8710 Fax: 770-806-0564
Afua Dufie Addo Vanderpuije, MD Internal Medicine Medicare: Medicare Enrolled Practice Location: 4045 Five Forks Trickum Rd Sw Ste C13, Lilburn, GA 30047 Phone: 470-415-8328
Dianne Jean-marie Bennett-johnson, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 483 Indian Trail Lilburn Rd Nw, Lilburn, GA 30047 Phone: 770-279-2427 Fax: 770-279-0639

Dr Kobena Y Waters, MD - Medicare Internal Medicine in Lilburn, GA