Mariam Nematalla Antonios, DO in Lawrenceville, GA

Mariam Nematalla Antonios, DO is a medicare enrolled "Family Medicine" physician in Lawrenceville, Georgia. She went to Rowan University School Of Osteopathic Medicine and graduated in 2016 and has 8 years of diverse experience with area of expertise as Family Practice. She is a member of the group practice Gwinnett Hospital System Gme, Llc and her current practice location is 665 Duluth Hwy Ste 501, Lawrenceville, Georgia. You can reach out to her office (for appointments etc.) via phone at (678) 312-0400.

Mariam Nematalla Antonios is licensed to practice in Georgia (license number 86461) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1164885901.

Contact Information

	Mariam Nematalla Antonios, DO
	665 Duluth Hwy Ste 501, Lawrenceville, GA 30046-8709
	(678) 312-0400
	Not Available

Map and Direction

Physician's Profile

Full Name	Mariam Nematalla Antonios
Gender	Female
Speciality	Family Practice
Experience	8 Years
Location	665 Duluth Hwy Ste 501, Lawrenceville, Georgia
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Mariam Nematalla Antonios attended and graduated from Rowan University School Of Osteopathic Medicine in 2016

NPI Data:

NPI Number: 1164885901
Provider Enumeration Date: 03/30/2016
Last Update Date: 09/22/2020

Medicare PECOS Information:

PECOS PAC ID: 1254751274
Enrollment ID: I20201013002562

Medical Identifiers

Medical identifiers for Mariam Nematalla Antonios such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1164885901	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207Q00000X	Family Medicine	00000 (Georgia)	Secondary
207Q00000X	Family Medicine	86461 (Georgia)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Gwinnett Hospital System Gme, Llc	0648504894	24

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. Mariam Nematalla Antonios allows following entities to bill medicare on her behalf.

Entity Name	Gwinnett Hospital System Gme, Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1780076927 PECOS PAC ID: 0648504894 Enrollment ID: O20190622000303

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. Mariam Nematalla Antonios 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
Mariam Nematalla Antonios, DO 665 Duluth Hwy Ste 501, Lawrenceville, GA 30046-8709 Ph: (678) 312-0400	Mariam Nematalla Antonios, DO 665 Duluth Hwy Ste 501, Lawrenceville, GA 30046-8709 Ph: (678) 312-0400

Reviews and Comments

Family Medicine Doctors in Lawrenceville, GA

Kelsea Leverett, Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 908 Arbor Crowne Dr, Lawrenceville, GA 30045 Phone: 404-713-3985
Dr. Carolyn Barnwell Petrey, DO Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 696 Grayson Hwy, Family Practice Clinic Pc, Lawrenceville, GA 30046 Phone: 770-963-0927 Fax: 770-963-9772
Sheila Kennedy, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 1430 Five Forks Trickum Rd St 220, Lawrenceville, GA 30044 Phone: 678-578-4983 Fax: 678-578-4988
Dr. Sana Rabbi, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 455 Philip Blvd Ste 130, Kaiser Permanente Lawrenceville Medical Office, Lawrenceville, GA 30046 Phone: 678-985-5000
Dr. Eda Moonhi Kim, M.D. Family Medicine Medicare: Medicare Enrolled Practice Location: 1600 N Brown Rd, Lawrenceville, GA 30043 Phone: 678-710-6872
Dr. Michael Curtis Cranford, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 665 Duluth Hwy Ste 401, Lawrenceville, GA 30046 Phone: 678-312-0400
Dr. Thenmozhi Singaram, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 455 Philip Blvd Ste 130, Kaiser Permanente Lawrenceville Medical Center, Lawrenceville, GA 30046 Phone: 678-985-5000

Mariam Nematalla Antonios, DO - Medicare Family Practice in Lawrenceville, GA