Dr Pavan Kumar Mamilla, MD in Alpharetta, GA

Dr Pavan Kumar Mamilla, MD is a medicare enrolled "Family Medicine" physician in Alpharetta, Georgia. He graduated from medical school in 2004 and has 20 years of diverse experience with area of expertise as Family Practice. He is a member of the group practice Metro Medical Associates Llc and his current practice location is 11379 Southbridge Pkwy Ste A, Alpharetta, Georgia. You can reach out to his office (for appointments etc.) via phone at (770) 777-0750.

Dr Pavan Kumar Mamilla is licensed to practice in Georgia (license number 79227) 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 1417188103.

Contact Information

	Dr Pavan Kumar Mamilla, MD
	11379 Southbridge Pkwy Ste A, Alpharetta, GA 30022-4402
	(770) 777-0750
	(770) 777-0521

Map and Direction

Physician's Profile

Full Name	Dr Pavan Kumar Mamilla
Gender	Male
Speciality	Family Practice
Experience	20 Years
Location	11379 Southbridge Pkwy Ste A, Alpharetta, 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 Pavan Kumar Mamilla graduated from medical school in 2004

NPI Data:

NPI Number: 1417188103
Provider Enumeration Date: 07/29/2009
Last Update Date: 11/02/2023

Medicare PECOS Information:

PECOS PAC ID: 6103072962
Enrollment ID: I20180523002377

Medical Identifiers

Medical identifiers for Dr Pavan Kumar Mamilla such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1417188103	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207Q00000X	Family Medicine	MD.33421 (Alabama)	Secondary
207Q00000X	Family Medicine	79227 (Georgia)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Northside Hospital	Atlanta, GA	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Metro Medical Associates Llc	2567568603	2

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 Pavan Kumar Mamilla allows following entities to bill medicare on his behalf.

Entity Name	Metro Medical Associates Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1982619789 PECOS PAC ID: 2567568603 Enrollment ID: O20070507000020

Entity Name	Marcy Inpatient Services Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1396154159 PECOS PAC ID: 0244555613 Enrollment ID: O20150205000737

Entity Name	Svap Med Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1477235372 PECOS PAC ID: 5597127704 Enrollment ID: O20230818001686

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 Pavan Kumar Mamilla 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 Pavan Kumar Mamilla, MD 11379 Southbridge Pkwy Ste A, Alpharetta, GA 30022-4402 Ph: (770) 777-0750	Dr Pavan Kumar Mamilla, MD 11379 Southbridge Pkwy Ste A, Alpharetta, GA 30022-4402 Ph: (770) 777-0750

Reviews and Comments

Family Medicine Doctors in Alpharetta, GA

Elizabeth T Sergile, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 3400 Old Milton Pkwy, Ste A130, Alpharetta, GA 30005 Phone: 770-664-8898 Fax: 770-772-4377
Dr. Stuart Irwin Levin, MD Family Medicine Medicare: May Accept Medicare Assignments Practice Location: 1040 Cambridge Sq, Suite E, Alpharetta, GA 30009 Phone: 770-569-2020 Fax: 770-569-5550
Dr. Thomas E Reeths, D.O. Family Medicine Medicare: Medicare Enrolled Practice Location: 5655 Atlanta Hwy Ste A, Alpharetta, GA 30004 Phone: 770-343-6364
Dr. Satishkumar Mudduranganath Ganjam, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 3905 Brookside Pkwy Ste 300, Alpharetta, GA 30022 Phone: 770-442-1911 Fax: 707-442-0306
Mr. Pedro Antonio Ramirez, MD Family Medicine Medicare: May Accept Medicare Assignments Practice Location: 261 North Main Street, Alpharetta, GA 30004 Phone: 770-664-5660 Fax: 770-663-8672
Dr. Mark James Sakr, D.O. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 3400 Old Milton Pkwy Ste C190, Alpharetta, GA 30005 Phone: 855-647-7678
Dr. Jignesh R Dholaria, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 260 Rucker Rd Ste 400, Alpharetta, GA 30004 Phone: 470-956-4540 Fax: 770-667-9783

Dr Pavan Kumar Mamilla, MD - Medicare Family Practice in Alpharetta, GA