Madeleine Delportillo, MD in Decatur, GA

Madeleine Delportillo, MD is a medicare enrolled "Pediatrics - Neonatal-perinatal Medicine" physician in Decatur, Georgia. Her current practice location is 2701 North Decatur Rd, Decatur, Georgia. You can reach out to her office (for appointments etc.) via phone at (404) 501-1843.

Madeleine Delportillo is licensed to practice in Georgia (license number 021672) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1174609390.

Contact Information

	Madeleine Delportillo, MD
	2701 North Decatur Rd, Decatur, GA 30034
	(404) 501-1843
	(404) 501-1837

Map and Direction

Physician's Profile

Full Name	Madeleine Delportillo
Gender	Female
Speciality	Pediatrics - Neonatal-perinatal Medicine
Location	2701 North Decatur Rd, Decatur, Georgia
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1174609390
Provider Enumeration Date: 10/31/2006
Last Update Date: 02/14/2019

Medicare PECOS Information:

PECOS PAC ID: 9830438696
Enrollment ID: I20190222001537

Medical Identifiers

Medical identifiers for Madeleine Delportillo such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1174609390	NPI	-	NPPES
000244703AG	Medicaid	GA
000244703AH	Medicaid	GA
06581141	Other	GA	AMERIGROUP

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
2080N0001X	Pediatrics - Neonatal-perinatal Medicine	021672 (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. Madeleine Delportillo allows following entities to bill medicare on her behalf.

Entity Name	The Longstreet Clinic, Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1326019977 PECOS PAC ID: 2668465733 Enrollment ID: O20040405001521

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. Madeleine Delportillo 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
Madeleine Delportillo, MD 2247 Salient Rd, Marietta, GA 30064 Ph: (404) 501-1843	Madeleine Delportillo, MD 2701 North Decatur Rd, Decatur, GA 30034 Ph: (404) 501-1843

Reviews and Comments

Pediatrics Doctors in Decatur, GA

Melinda E Shelton, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 350 Winn Way, Decatur, GA 30030 Phone: 404-508-1177 Fax: 404-508-9640
Chyna Beck Taylor, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 200 E Ponce De Leon Ave Ste 150, Decatur, GA 30030 Phone: 706-980-2518
Dr. Laura Smith Lord, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 2701 N Decatur Rd, Decatur, GA 30033 Phone: 404-501-1843
Deborah C Pollack, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 350 Winn Way, Decatur, GA 30030 Phone: 404-508-1177 Fax: 404-508-9640
Dr. Peggy Michelle Marcus, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 350 Winn Way, Decatur, GA 30030 Phone: 404-508-1177 Fax: 404-508-9640
Anna Bowen, MD, MPH Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 128 Fairview Ave, Decatur, GA 30030 Phone: 706-461-3332
Dr. Bridget Arnold Cobb, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 2701 N Decatur Rd, Decatur, GA 30033 Phone: 404-501-2923 Fax: 404-501-1837

Madeleine Delportillo, MD - Medicare Pediatrics in Decatur, GA