Dr Sibyl Monique Duncan, MD - Medicare Family Practice in Lithonia, GA

Dr Sibyl Monique Duncan, MD is a medicare enrolled "Family Medicine" physician in Lithonia, Georgia. She went to Howard University College Of Medicine and graduated in 2009 and has 15 years of diverse experience with area of expertise as Family Practice. She is a member of the group practice Northside Primary Care Professional Services,llc and her current practice location is 6000 Hillandale Dr Ste 100, Lithonia, Georgia. You can reach out to her office (for appointments etc.) via phone at (678) 418-1964.

Dr Sibyl Monique Duncan is licensed to practice in Georgia (license number 79439) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1912238023.

Contact Information

Dr Sibyl Monique Duncan, MD
6000 Hillandale Dr Ste 100,
Lithonia, GA 30058
(678) 418-1964
(404) 592-2042

Map and Direction




Physician's Profile

Full NameDr Sibyl Monique Duncan
GenderFemale
SpecialityFamily Practice
Experience15 Years
Location6000 Hillandale Dr Ste 100, Lithonia, Georgia
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Dr Sibyl Monique Duncan attended and graduated from Howard University College Of Medicine in 2009
  NPI Data:
  • NPI Number: 1912238023
  • Provider Enumeration Date: 01/29/2010
  • Last Update Date: 11/06/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 7113163411
  • Enrollment ID: I20190905003545

Medical Identifiers

Medical identifiers for Dr Sibyl Monique Duncan such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1912238023NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine 79439 (Georgia)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Emory Hillandale HospitalLithonia, GAHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Northside Primary Care Professional Services,llc9638343924262

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 Sibyl Monique Duncan allows following entities to bill medicare on her behalf.
Entity NameNorthside Primary Care Professional Services,llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1922397553
PECOS PAC ID: 9638343924
Enrollment ID: O20111123000206

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 Sibyl Monique Duncan 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 AddressPractice Location Address
Dr Sibyl Monique Duncan, MD
6000 Hillandale Dr Ste 100,
Lithonia, GA 30058-4860

Ph: (678) 418-2120
Dr Sibyl Monique Duncan, MD
6000 Hillandale Dr Ste 100,
Lithonia, GA 30058

Ph: (678) 418-1964

Reviews and Comments


Family Medicine Doctors in Lithonia, GA

Dr. Eric Wilson, MD
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 5440 Hillandale Dr, Kaiser Permanente Panola Medical Center, Lithonia, GA 30058
Phone: 770-322-2777    Fax: 706-549-5981
Dr. Clarice Marijetta Bell, M.D.
Family Medicine
Medicare: Medicare Enrolled
Practice Location: 5900 Hillandale Dr, Suite 215, Lithonia, GA 30058
Phone: 770-322-9660    Fax: 770-322-1981
Martin A Dixon, D.O.
Family Medicine
Medicare: Medicare Enrolled
Practice Location: 8225 Mall Pkwy, Suite 100, Lithonia, GA 30038
Phone: 770-981-2100    Fax: 770-808-8445
Itauma Udosen, DO
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 2745 Dekalb Medical Pkwy Ste 110, Lithonia, GA 30058
Phone: 770-593-2382    Fax: 678-514-2527
Jerome D. Homish, D.O.
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 7231 Rockbridge Rd, Lithonia, GA 30058
Phone: 678-710-9270    Fax: 470-365-2880
Dr. Gregory O Zakers, M.D.
Family Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 5910 Hillandale Dr, Lithonia, GA 30058
Phone: 404-501-8733    
Dr. Vivin Mathew, M.D.
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 2801 Dekalb Medical Pkwy, Lithonia, GA 30058
Phone: 404-501-8000    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.