Jorge B Pisarello, MD in Dublin, GA - Medicare Internal Medicine

Jorge B Pisarello, MD is a medicare enrolled "Internal Medicine" physician in Dublin, Georgia. His current practice location is 107 Fairview Park Dr, Dublin, Georgia. You can reach out to his office (for appointments etc.) via phone at (478) 864-3448.

Jorge B Pisarello is licensed to practice in Georgia (license number 58914) 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 1992795876.

Contact Information

	Jorge B Pisarello, MD
	107 Fairview Park Dr, Dublin, GA 31021-2501
	(478) 864-3448
	(478) 864-1288

Map and Direction

Physician's Profile

Full Name	Jorge B Pisarello
Gender	Male
Speciality	Internal Medicine
Location	107 Fairview Park Dr, Dublin, Georgia
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1992795876
Provider Enumeration Date: 10/24/2005
Last Update Date: 05/12/2015

Medicare PECOS Information:

PECOS PAC ID: 8628017340
Enrollment ID: I20070409000466

Medical Identifiers

Medical identifiers for Jorge B Pisarello such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1992795876	NPI	-	NPPES
58914	Other	GA	MEDICAL LICENSE
1235131137	Other	MI	BCBSM - BLH
1992795876	Medicaid	MI

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
2083P0011X	Preventive Medicine - Undersea And Hyperbaric Medicine	MD027109E (Pennsylvania)	Secondary
207R00000X	Internal Medicine	58914 (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. Jorge B Pisarello allows following entities to bill medicare on his behalf.

Entity Name	Community Health Care Systems, Inc.
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1932150422 PECOS PAC ID: 5890783179 Enrollment ID: O20040505000153

Entity Name	Onesource Healthcare Group, Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1609207034 PECOS PAC ID: 4284864810 Enrollment ID: O20140227001514

Entity Name	Mky Healthcare Services Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1982362224 PECOS PAC ID: 0345627022 Enrollment ID: O20220518002297

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. Jorge B Pisarello 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
Jorge B Pisarello, MD Po Box 371, Wrightsville, GA 31096-0371 Ph: (478) 864-3448	Jorge B Pisarello, MD 107 Fairview Park Dr, Dublin, GA 31021-2501 Ph: (478) 864-3448

Reviews and Comments

Internal Medicine Doctors in Dublin, GA

Dr. Raman S.p Damineni, M.D Internal Medicine Medicare: Medicare Enrolled Practice Location: 1826 Veterans Blvd, Dublin, GA 31021 Phone: 478-272-1210 Fax: 478-274-5508
Pride R Chapman, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 104 Fairview Park Dr, Dublin, GA 31021 Phone: 478-272-1366 Fax: 478-277-1922
Tirso A Castillo, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 111 Fairview Park Dr, Dublin, GA 31021 Phone: 478-272-1366 Fax: 478-275-2322
Andre Christopher Lewis, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 200 Industrial Blvd., Hospitalists At Fairview Park Llc, Dublin, GA 31021 Phone: 478-274-3925 Fax: 478-274-3663
Matthew B Grundfast, D.O. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 111 Fairview Park Dr, Dublin, GA 31021 Phone: 478-277-1929 Fax: 478-304-1468
Dr. Meenakshi Mohan Ram, M.D., Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 1826 Veterans Blvd, Dublin, GA 31021 Phone: 478-272-1210
Natalie Rodziewicz Guinn, M.D. Internal Medicine Medicare: Medicare Enrolled Practice Location: 2400 Bellevue Rd Ste 29b, Dublin, GA 31021 Phone: 478-272-9688

Jorge B Pisarello, MD - Medicare Internal Medicine in Dublin, GA