Mio Yanagisawa, in Fayetteville, GA - Medicare General Surgery

Mio Yanagisawa, is a medicare enrolled "Surgery" physician in Fayetteville, Georgia. She went to University Of Texas Southwestern Medical School At Dallas and graduated in 2014 and has 11 years of diverse experience with area of expertise as General Surgery. She is a member of the group practice Piedmont Providers Llc and her current practice location is 1279 Highway 54 W Ste 100, Fayetteville, Georgia. You can reach out to her office (for appointments etc.) via phone at (770) 719-5710.

Mio Yanagisawa is licensed to practice in Georgia (license number 85457) 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 1376955831.

Contact Information

	Mio Yanagisawa,
	1279 Highway 54 W Ste 100, Fayetteville, GA 30214-4551
	(770) 719-5710
	Not Available

Map and Direction

Physician's Profile

Full Name	Mio Yanagisawa
Gender	Female
Speciality	General Surgery
Experience	11 Years
Location	1279 Highway 54 W Ste 100, Fayetteville, 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:

Mio Yanagisawa attended and graduated from University Of Texas Southwestern Medical School At Dallas in 2014

NPI Data:

NPI Number: 1376955831
Provider Enumeration Date: 06/02/2014
Last Update Date: 11/03/2025

Medicare PECOS Information:

PECOS PAC ID: 3971926148
Enrollment ID: I20200706003147

Medical Identifiers

Medical identifiers for Mio Yanagisawa such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1376955831	NPI	-	NPPES
925717241	Other		PPS

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208600000X	Surgery	85457 (Georgia)	Primary
208600000X	Surgery	MD492547 (Pennsylvania)	Secondary
390200000X	Student In An Organized Health Care Education/training Program	(* (Not Available))	Secondary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Piedmont Fayette Hospital	Fayetteville, GA	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Piedmont Providers Llc	9830082825	425

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. Mio Yanagisawa allows following entities to bill medicare on her behalf.

Entity Name	Piedmont Providers Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1548273592 PECOS PAC ID: 9830082825 Enrollment ID: O20040204000321

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. Mio Yanagisawa 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
Mio Yanagisawa, 1365 Clifton Rd Ne Bldg C, Atlanta, GA 30322-1013 Ph: (404) 778-3307	Mio Yanagisawa, 1279 Highway 54 W Ste 100, Fayetteville, GA 30214-4551 Ph: (770) 719-5710

Reviews and Comments

Surgery Doctors in Fayetteville, GA

Dr. Janine Nicole Pettiford, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 325 North Jeff Davis Dr, Fayetteville, GA 30214 Phone: 770-461-1337 Fax: 770-461-0922
Walker Shearon, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 1265 Highway 54 W Ste 500b, Fayetteville, GA 30214 Phone: 404-265-4411
Taheisha Rena Deese, NP Surgery Medicare: Accepting Medicare Assignments Practice Location: 1265 Highway 54 W Ste 305, Fayetteville, GA 30214 Phone: 770-719-5660
Dr. James Mattingly Stevens, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 1265 Highway 54 W, Suite 500b, Fayetteville, GA 30214 Phone: 770-719-5660 Fax: 678-817-4339
Meghan Morgan, CST Surgery Medicare: Not Enrolled in Medicare Practice Location: 101 Yorktown Dr., Suite 110, Fayetteville, GA 30214 Phone: 770-461-2101
Russell Andrew Wilson, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 1265 Highway 54 W Ste 500b, Fayetteville, GA 30214 Phone: 770-719-5660 Fax: 678-336-5955

Mio Yanagisawa, - Medicare General Surgery in Fayetteville, GA