Dr Suhas Joe Samuel, MD in Ellenwood, GA - Medicare Family Practice

Dr Suhas Joe Samuel, MD is a medicare enrolled "Family Medicine - Sports Medicine" physician in Ellenwood, Georgia. He graduated from medical school in 2009 and has 17 years of diverse experience with area of expertise as Family Practice. He is a member of the group practice Northside Urgent Care Holding Llc and his current practice location is 2720 Quiktrip Way, Ellenwood, Georgia. You can reach out to his office (for appointments etc.) via phone at (470) 582-5698.

Dr Suhas Joe Samuel is licensed to practice in Georgia (license number 072465) 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 1356632962.

Contact Information

	Dr Suhas Joe Samuel, MD
	2720 Quiktrip Way, Ellenwood, GA 30294-3504
	(470) 582-5698
	Not Available

Map and Direction

Physician's Profile

Full Name	Dr Suhas Joe Samuel
Gender	Male
Speciality	Family Practice
Experience	17 Years
Location	2720 Quiktrip Way, Ellenwood, 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 Suhas Joe Samuel graduated from medical school in 2009

NPI Data:

NPI Number: 1356632962
Provider Enumeration Date: 04/29/2011
Last Update Date: 01/19/2023

Medicare PECOS Information:

PECOS PAC ID: 9436397163
Enrollment ID: I20170412001973

Medical Identifiers

Medical identifiers for Dr Suhas Joe Samuel such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1356632962	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207QS0010X	Family Medicine - Sports Medicine	072465 (Georgia)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Northside Urgent Care Holding Llc	4587984695	62

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 Suhas Joe Samuel allows following entities to bill medicare on his behalf.

Entity Name	Wellstreet Of Georgia Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1235411547 PECOS PAC ID: 7517126279 Enrollment ID: O20120315000603

Entity Name	Northside Urgent Care Holding Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1679962237 PECOS PAC ID: 4587984695 Enrollment ID: O20150513000795

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 Suhas Joe Samuel 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 Suhas Joe Samuel, MD 4705 S 129th East Ave, Tulsa, OK 74134-7005 Ph: (918) 615-7310	Dr Suhas Joe Samuel, MD 2720 Quiktrip Way, Ellenwood, GA 30294-3504 Ph: (470) 582-5698

Reviews and Comments

Family Medicine Doctors in Ellenwood, GA

Lishan Bekele, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 211 Fairview Rd, Ellenwood, GA 30294 Phone: 770-507-4554 Fax: 770-507-6413
Dr. Melody Lawanda Bray-ross, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 3559 Spring Shls, Ellenwood, GA 30294 Phone: 404-241-6032
Reem M Sidani, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 211 Fairview Rd, Ellenwood, GA 30294 Phone: 678-289-6747 Fax: 678-289-6750
Claudea Antonette Lewis-comrie, Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 211 Fairview Rd, Ellenwood, GA 30294 Phone: 678-289-6747 Fax: 678-289-6750
Dr. Mitzi Clayton, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 211 Fairview Rd, Ellenwood, GA 30294 Phone: 770-507-4554 Fax: 770-507-6413
Dr. April Marie F. Madu, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2720 E Clayton Dr, Ellenwood, GA 30294 Phone: 800-993-8244 Fax: 855-684-6065

Dr Suhas Joe Samuel, MD - Medicare Family Practice in Ellenwood, GA