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

Dr Suhas Joe Samuel, MD is a medicare enrolled "Family Medicine - Sports Medicine" physician in Ellenwood, Georgia. 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 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 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 Medicine - Sports Medicine
Location	2720 Quiktrip Way, Ellenwood, Georgia
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

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: I20150720000426

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

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	Emergent Care Plus, Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1396923181 PECOS PAC ID: 0547328460 Enrollment ID: O20081022000252

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: Medicare Enrolled 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. Charles V Clopton, Jr, M.D. Family Medicine Medicare: Medicare Enrolled Practice Location: 195 Fairview Rd, Ellenwood, GA 30294 Phone: 770-507-0112

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