Imad Abossallue, MD is a medicare enrolled "Nuclear Medicine" physician in Atlanta, Georgia. His current practice location is
1000 Johnson Ferry Rd, Atlanta, Georgia. You can reach out to his office (for appointments etc.) via phone at
(404) 851-6323.
Imad Abossallue is licensed to practice in Georgia (license number 88214) 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 1134359599.
Physician's Profile
| Full Name | Imad Abossallue |
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| Gender | Male |
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| Speciality | Nuclear Medicine |
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| Location | 1000 Johnson Ferry Rd, Atlanta, Georgia |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1134359599
- Provider Enumeration Date: 07/20/2009
- Last Update Date: 06/06/2023
Medicare PECOS Information:
- PECOS PAC ID: 8224281365
- Enrollment ID: I20200102000805
Medical Identifiers
Medical identifiers for Imad Abossallue such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1134359599 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 207R00000X | Internal Medicine | ME121864 (Florida) | Secondary |
| 207R00000X | Internal Medicine | 2009010810 (Missouri) | Secondary |
| 207RG0300X | Internal Medicine - Geriatric Medicine | 4301102046 (Michigan) | Secondary |
| 207U00000X | Nuclear Medicine | ME121864 (Florida) | Secondary |
| 207U00000X | Nuclear Medicine | 88214 (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. Imad Abossallue allows following entities to bill medicare on his behalf.
| Entity Name | Rockledge Physician Services, Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1538523295
PECOS PAC ID: 1254621048
Enrollment ID: O20160607001833 |
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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. Imad Abossallue 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 |
|---|
Imad Abossallue, MD
5605 Glenridge Dr Ste 325,
Atlanta, GA 30342-1301
Ph: (404) 252-4709 | Imad Abossallue, MD
1000 Johnson Ferry Rd,
Atlanta, GA 30342-1606
Ph: (404) 851-6323 |
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