Dr Louis G Prevosti, MD is a medicare enrolled "Thoracic Surgery (cardiothoracic Vascular Surgery)" physician in Canton, Georgia. His current practice location is
147 Reinhardt College Pkwy Ste 10, Canton, Georgia. You can reach out to his office (for appointments etc.) via phone at
(470) 394-6669.
Dr Louis G Prevosti is licensed to practice in Georgia (license number 034923) 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 1063477222.
Physician's Profile
| Full Name | Dr Louis G Prevosti |
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| Gender | Male |
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| Speciality | Thoracic Surgery (cardiothoracic Vascular Surgery) |
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| Location | 147 Reinhardt College Pkwy Ste 10, Canton, Georgia |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1063477222
- Provider Enumeration Date: 04/19/2006
- Last Update Date: 05/09/2025
Medicare PECOS Information:
- PECOS PAC ID: 2264325976
- Enrollment ID: I20080429000752
Medical Identifiers
Medical identifiers for Dr Louis G Prevosti such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1063477222 | NPI | - | NPPES |
| 000469994F | Medicaid | GA | |
| 330005751 | Other | GA | RR MEDICARE |
| 610271 | Other | GA | BCBS EDI |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 208G00000X | Thoracic Surgery (cardiothoracic Vascular Surgery) | 034923 (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 Louis G Prevosti allows following entities to bill medicare on his behalf.
| Entity Name | Center For Vein Restoration Ga Corp |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1902423387
PECOS PAC ID: 8527478742
Enrollment ID: O20201029000773 |
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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 Louis G Prevosti 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 Louis G Prevosti, MD
147 Reinhardt College Pkwy Ste 10,
Canton, GA 30114-5295
Ph: (470) 567-9047 | Dr Louis G Prevosti, MD
147 Reinhardt College Pkwy Ste 10,
Canton, GA 30114-5295
Ph: (470) 394-6669 |
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