Dr Matthew Agam, MD in Atlanta, GA - Medicare Student in an Organized Health Care Education/Training Program

Dr Matthew Agam, MD - Medicare Student in an Organized Health Care Education/Training Program in Atlanta, GA

Dr Matthew Agam, MD is a medicare enrolled "Student In An Organized Health Care Education/training Program" physician in Atlanta, Georgia. His current practice location is 1365b Clifton Rd Ne Rm B6169c, Atlanta, Georgia. You can reach out to his office (for appointments etc.) via phone at (404) 778-2190.

Dr Matthew Agam is licensed to practice in * (Not Available) (license number ) 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 1720540990.

Contact Information

	Dr Matthew Agam, MD
	1365b Clifton Rd Ne Rm B6169c, Atlanta, GA 30322-1059
	(404) 778-2190
	(404) 778-4472

Map and Direction

Physician's Profile

Full Name	Dr Matthew Agam
Gender	Male
Speciality	Student In An Organized Health Care Education/training Program
Location	1365b Clifton Rd Ne Rm B6169c, Atlanta, Georgia
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1720540990
Provider Enumeration Date: 04/04/2019
Last Update Date: 03/24/2026

Medicare PECOS Information:

PECOS PAC ID: 5597091231
Enrollment ID: I20190801002632

Medical Identifiers

Medical identifiers for Dr Matthew Agam such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1720540990	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207T00000X	Neurological Surgery	28457 (Nevada)	Secondary
390200000X	Student In An Organized Health Care Education/training Program	(* (Not Available))	Primary

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 Matthew Agam 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 Matthew Agam, MD 1365b Clifton Rd Ne Rm B6169c, Atlanta, GA 30322-1059 Ph: (404) 778-2190	Dr Matthew Agam, MD 1365b Clifton Rd Ne Rm B6169c, Atlanta, GA 30322-1059 Ph: (404) 778-2190