Guillermo A Pena, MD - Medicare Internal Medicine in Blue Ridge, GA

Guillermo A Pena, MD is a medicare enrolled "Internal Medicine" physician in Blue Ridge, Georgia. He graduated from medical school in 1982 and has 42 years of diverse experience with area of expertise as Internal Medicine. He is a member of the group practice Georgia Mountains Health Services, Inc. and his current practice location is 165 Blue Ridge Overlook, Blue Ridge, Georgia. You can reach out to his office (for appointments etc.) via phone at (706) 946-4647.

Guillermo A Pena is licensed to practice in Georgia (license number 059493) 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 1013978162.

Contact Information

Guillermo A Pena, MD
165 Blue Ridge Overlook,
Blue Ridge, GA 30513-4431
(706) 946-4647
(706) 374-5006

Map and Direction




Physician's Profile

Full NameGuillermo A Pena
GenderMale
SpecialityInternal Medicine
Experience42 Years
Location165 Blue Ridge Overlook, Blue Ridge, Georgia
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Guillermo A Pena graduated from medical school in 1982
  NPI Data:
  • NPI Number: 1013978162
  • Provider Enumeration Date: 03/29/2006
  • Last Update Date: 11/04/2021
  Medicare PECOS Information:
  • PECOS PAC ID: 4486663739
  • Enrollment ID: I20140218001375

Medical Identifiers

Medical identifiers for Guillermo A Pena such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1013978162NPI-NPPES
297695058AMedicaidGA
040614700MedicaidFL

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207R00000XInternal Medicine 46222 (Florida)Secondary
207R00000XInternal Medicine 059493 (Georgia)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Amedisys Northwest Home HealthJasper, GAHome health agency
Piedmont Mountainside Hospital IncJasper, GAHospital
Northeast Georgia Medical Center LumpkinDahlonega, GAHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Georgia Mountains Health Services, Inc.771997483117

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. Guillermo A Pena allows following entities to bill medicare on his behalf.
Entity NameGeorgia Mountains Health Services, Inc.
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1285057281
PECOS PAC ID: 7719974831
Enrollment ID: O20040429000383

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. Guillermo A Pena 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
Guillermo A Pena, MD
165 Blue Ridge Overlook,
Blue Ridge, GA 30513-4431

Ph: (706) 946-5608
Guillermo A Pena, MD
165 Blue Ridge Overlook,
Blue Ridge, GA 30513-4431

Ph: (706) 946-4647

Reviews and Comments


Internal Medicine Doctors in Blue Ridge, GA

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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.