Kazi Shahriar Russell, DO is a medicare enrolled "Internal Medicine" physician in Ball Ground, Georgia. His current practice location is
8111 Ball Ground Hwy, Ball Ground, Georgia. You can reach out to his office (for appointments etc.) via phone at
(770) 268-4011.
Kazi Shahriar Russell is licensed to practice in Georgia (license number 100836) 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 1487221917.
Physician's Profile
| Full Name | Kazi Shahriar Russell |
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| Gender | Male |
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| Speciality | Internal Medicine |
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| Location | 8111 Ball Ground Hwy, Ball Ground, 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: 1487221917
- Provider Enumeration Date: 06/03/2021
- Last Update Date: 09/04/2025
Medicare PECOS Information:
- PECOS PAC ID: 3577091438
- Enrollment ID: I20250107000697
Medical Identifiers
Medical identifiers for Kazi Shahriar Russell such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1487221917 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207R00000X | Internal Medicine | 5151015222APP21 (Michigan) | Secondary |
| 207R00000X | Internal Medicine | 100836 (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. Kazi Shahriar Russell allows following entities to bill medicare on his behalf.
| Entity Name | Aylo Health, Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1013018811
PECOS PAC ID: 8022901925
Enrollment ID: O20040204000918 |
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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. Kazi Shahriar Russell 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 |
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Kazi Shahriar Russell, DO
3333 Riverwood Pkwy Se Ste 250,
Atlanta, GA 30339-3304
Ph: (770) 914-0116 | Kazi Shahriar Russell, DO
8111 Ball Ground Hwy,
Ball Ground, GA 30107-3936
Ph: (770) 268-4011 |
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