Mini Joseph Shivprasad, MD in Gainesville, GA

Mini Joseph Shivprasad, MD is a medicare enrolled "Internal Medicine" physician in Gainesville, Georgia. She graduated from medical school in 1994 and has 30 years of diverse experience with area of expertise as Geriatric Medicine. She is a member of the group practice Legacy Healthcare Services Inc, Northeast Georgia Diagnostic Associates And Clinic, Llc and her current practice location is 1240 Jesse Jewell Pkwy Se, Suite 500, Gainesville, Georgia. You can reach out to her office (for appointments etc.) via phone at (770) 536-9864.

Mini Joseph Shivprasad is licensed to practice in Georgia (license number 57493) 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 1407836158.

Contact Information

	Mini Joseph Shivprasad, MD
	1240 Jesse Jewell Pkwy Se, Suite 500, Gainesville, GA 30501-3862
	(770) 536-9864
	(770) 297-5023

Map and Direction

Physician's Profile

Full Name	Mini Joseph Shivprasad
Gender	Female
Speciality	Geriatric Medicine
Experience	30 Years
Location	1240 Jesse Jewell Pkwy Se, Gainesville, 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:

Mini Joseph Shivprasad graduated from medical school in 1994

NPI Data:

NPI Number: 1407836158
Provider Enumeration Date: 01/19/2006
Last Update Date: 03/09/2021

Medicare PECOS Information:

PECOS PAC ID: 8325074834
Enrollment ID: I20060323000691

Medical Identifiers

Medical identifiers for Mini Joseph Shivprasad such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1407836158	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207RG0300X	Internal Medicine - Geriatric Medicine	57493 (Georgia)	Secondary
207R00000X	Internal Medicine	57493 (Georgia)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Tugaloo Home Health Agency, An Amedisy Company	Gainesville, GA	Home health agency
Northeast Georgia Medical Center, Inc	Gainesville, GA	Hospital
Willowbrooke Court At Lanier Village Estates	Gainesville, GA	Nursing home

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Legacy Healthcare Services Inc	2163339722	2654
Northeast Georgia Diagnostic Associates And Clinic, Llc	1951655737	71

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. Mini Joseph Shivprasad allows following entities to bill medicare on her behalf.

Entity Name	Northeast Georgia Diagnostic Clinic Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1215976634 PECOS PAC ID: 5092700377 Enrollment ID: O20040416000499

Entity Name	Northeast Georgia Diagnostic Associates And Clinic, Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1144719311 PECOS PAC ID: 1951655737 Enrollment ID: O20181114000949

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. Mini Joseph Shivprasad 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
Mini Joseph Shivprasad, MD 1240 Jesse Jewell Pkwy Se, Suite 500, Gainesville, GA 30501-3862 Ph: (770) 536-9864	Mini Joseph Shivprasad, MD 1240 Jesse Jewell Pkwy Se, Suite 500, Gainesville, GA 30501-3862 Ph: (770) 536-9864

Reviews and Comments

Internal Medicine Doctors in Gainesville, GA

James D Jackson, M.D. Internal Medicine Medicare: Medicare Enrolled Practice Location: 1285 Sims St, Gainesville, GA 30501 Phone: 770-219-8583
Eileen Javellana, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 725 Jesse Jewell Pkwy Se, Gainesville, GA 30501 Phone: 678-207-4373 Fax: 770-533-4727
Dr. Nitya S Chandra, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 200 S Enota Dr Ne Ste 100, Gainesville, GA 30501 Phone: 770-534-2020 Fax: 770-534-8025
Dr. Lisa Armsrees Gillespie, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 743 Spring St Ne, Gainesville, GA 30501 Phone: 770-219-8420
Dr. Noelle Claudine Stanley, MD Internal Medicine Medicare: Medicare Enrolled Practice Location: 1211 Sherwood Park Dr Ne Ste B, Gainesville, GA 30501 Phone: 770-219-9179
Kedric Naylor, Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 743 Spring St Ne, Gainesville, GA 30501 Phone: 770-219-9000 Fax: 770-538-7872
Dr. William Nathan Blake, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 743 Spring St Ne, Ngpg Inpatient Medicine, Gainesville, GA 30501 Phone: 770-219-6000 Fax: 770-219-6021

Mini Joseph Shivprasad, MD - Medicare Geriatric Medicine in Gainesville, GA