Gaurav Dutta, MD in Lagrange, GA - Medicare Internal Medicine

Gaurav Dutta, MD is a medicare enrolled "Internal Medicine - Pulmonary Disease" physician in Lagrange, Georgia. He graduated from medical school in 2006 and has 18 years of diverse experience with area of expertise as Internal Medicine. He is a member of the group practice Ctca Physicians Group Of Georgia, Llc. and his current practice location is 1551 Doctors Dr, Lagrange, Georgia. You can reach out to his office (for appointments etc.) via phone at (706) 880-7222.

Gaurav Dutta is licensed to practice in Georgia (license number 92087) 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 1891026126.

Contact Information

	Gaurav Dutta, MD
	1551 Doctors Dr, Lagrange, GA 30240-4139
	(706) 880-7222
	(706) 880-7223

Map and Direction

Physician's Profile

Full Name	Gaurav Dutta
Gender	Male
Speciality	Internal Medicine
Experience	18 Years
Location	1551 Doctors Dr, Lagrange, 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:

Gaurav Dutta graduated from medical school in 2006

NPI Data:

NPI Number: 1891026126
Provider Enumeration Date: 01/27/2010
Last Update Date: 09/06/2023

Medicare PECOS Information:

PECOS PAC ID: 9436315199
Enrollment ID: I20221109001224

Medical Identifiers

Medical identifiers for Gaurav Dutta such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1891026126	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207RP1001X	Internal Medicine - Pulmonary Disease	24420 (Mississippi)	Secondary
207RP1001X	Internal Medicine - Pulmonary Disease	92087 (Georgia)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Southeastern Regional Medical Center	Newnan, GA	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Ctca Physicians Group Of Georgia, Llc.	4880841212	119

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. Gaurav Dutta allows following entities to bill medicare on his behalf.

Entity Name	Wellstar Medical Group, Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1558664003 PECOS PAC ID: 6709065402 Enrollment ID: O20110127000374

Entity Name	Ctca Physicians Group Of Georgia, Llc.
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1447520333 PECOS PAC ID: 4880841212 Enrollment ID: O20120820001117

Entity Name	Sound Physicians Intensivists Of Georgia Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1376159590 PECOS PAC ID: 5193138634 Enrollment ID: O20201230001915

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. Gaurav Dutta 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
Gaurav Dutta, MD 1551 Doctors Dr, Lagrange, GA 30240-4139 Ph: (706) 880-7222	Gaurav Dutta, MD 1551 Doctors Dr, Lagrange, GA 30240-4139 Ph: (706) 880-7222

Reviews and Comments

Internal Medicine Doctors in Lagrange, GA

Dr. John Robert Coggins Jr., M.D. Pulmonary Disease Medicare: Accepting Medicare Assignments Practice Location: 1551 Doctors Dr, Lagrange, GA 30240 Phone: 706-845-7711 Fax: 706-882-1620
Kenneth T Horlander, M.D. Pulmonary Disease Medicare: Accepting Medicare Assignments Practice Location: Clark-holder Clinic, P.a., 303 Smith Street, Lagrange, GA 30240 Phone: 706-882-8831 Fax: 706-812-4091
Ravina V Kadam, MD Pulmonary Disease Medicare: Accepting Medicare Assignments Practice Location: 300 Medical Dr Ste 704, Lagrange, GA 30240 Phone: 706-880-7361
Syed Abuzar Waseem Ahmed, Pulmonary Disease Medicare: Accepting Medicare Assignments Practice Location: 1514 Vernon Rd, Lagrange, GA 30240 Phone: 706-812-2369 Fax: 801-352-7976
Mr. Melhim Bou Alwan, M.D. Pulmonary Disease Medicare: Accepting Medicare Assignments Practice Location: 1514 Vernon Rd, Lagrange, GA 30240 Phone: 706-882-1411 Fax: 706-812-2471
Dr. Ariyo Oluwole Olobatoke, MD Pulmonary Disease Medicare: Accepting Medicare Assignments Practice Location: 1551 Doctors Dr, Lagrange, GA 30240 Phone: 706-880-7222 Fax: 706-880-7223
Priyesh R Patel, MD Pulmonary Disease Medicare: Medicare Enrolled Practice Location: 1514 Vernon Rd, Lagrange, GA 30240 Phone: 706-882-1411 Fax: 706-812-2471

Gaurav Dutta, MD - Medicare Internal Medicine in Lagrange, GA