| Mohamed Elbasha, MD | |
|
1266 Highway 515 S, Jasper, GA 30143-4872 | |
| (706) 692-2441 | |
| Not Available |
| Full Name | Mohamed Elbasha |
|---|---|
| Gender | Male |
| Speciality | Emergency Medicine |
| Location | 1266 Highway 515 S, Jasper, Georgia |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1982732483 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207P00000X | Emergency Medicine | 059714 (Georgia) | Primary |
| Entity Name | Emergency Coverage Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1427005008 PECOS PAC ID: 3072412592 Enrollment ID: O20050411000056 |
| Entity Name | Houston County Emergency Group, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1013338193 PECOS PAC ID: 2264663756 Enrollment ID: O20140326001461 |
| Entity Name | Southern Regional Physicians Management Group, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1043677271 PECOS PAC ID: 9032491956 Enrollment ID: O20170127002483 |
| Entity Name | Small Hospital Innovations Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1184040560 PECOS PAC ID: 0840415444 Enrollment ID: O20220404000661 |
| Mailing Address | Practice Location Address |
|---|---|
| Mohamed Elbasha, MD Po Box 636019, Cincinnati, OH 45263-6019 Ph: () - | Mohamed Elbasha, MD 1266 Highway 515 S, Jasper, GA 30143-4872 Ph: (706) 692-2441 |
Dr. Alina G. Barrett, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1266 Ga Hwy 515, Jasper, GA 30143 Phone: 706-301-5350 Fax: 706-301-5352 |