Dr Ellis Mossaded, MD in Gainesville, GA - Medicare General Practice

Dr Ellis Mossaded, MD is a medicare enrolled "General Practice" physician in Gainesville, Georgia. His current practice location is 2200 Old Hamilton Pl, Gainesville, Georgia. You can reach out to his office (for appointments etc.) via phone at (770) 532-2066.

Dr Ellis Mossaded is licensed to practice in Georgia (license number 74500) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1790195261.

Contact Information

	Dr Ellis Mossaded, MD
	2200 Old Hamilton Pl, Gainesville, GA 30507-7892
	(770) 532-2066
	Not Available

Map and Direction

Physician's Profile

Full Name	Dr Ellis Mossaded
Gender	Male
Speciality	General Practice
Location	2200 Old Hamilton Pl, Gainesville, Georgia
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1790195261
Provider Enumeration Date: 05/05/2014
Last Update Date: 04/08/2025

Medicare PECOS Information:

PECOS PAC ID: 1658597695
Enrollment ID: I20140728001062

Medical Identifiers

Medical identifiers for Dr Ellis Mossaded such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1790195261	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208D00000X	General Practice	74500 (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. Dr Ellis Mossaded allows following entities to bill medicare on his behalf.

Entity Name	Essen Medical Associates, Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1366418709 PECOS PAC ID: 1759353501 Enrollment ID: O20040811000885

Entity Name	Bronx Medical Practice Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1356726087 PECOS PAC ID: 9739496100 Enrollment ID: O20150917000004

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. Dr Ellis Mossaded 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
Dr Ellis Mossaded, MD 6065 Roswell Rd, Sandy Springs, GA 30328-4011 Ph: (770) 231-3100	Dr Ellis Mossaded, MD 2200 Old Hamilton Pl, Gainesville, GA 30507-7892 Ph: (770) 532-2066

Reviews and Comments

General Practice Doctors in Gainesville, GA

Mr. Robert W Klassen, MD General Practice Medicare: Accepting Medicare Assignments Practice Location: 100 Spring St, Gainesville, GA 30501 Phone: 770-532-3700 Fax: 770-532-0059
Dr. Carlos Castilo Tan, M.D. General Practice Medicare: Not Enrolled in Medicare Practice Location: 3 Washington Ave, Gainesville, GA 30501 Phone: 770-503-0221 Fax: 770-503-0023
Dr. Henry A Woods Jr., M.D. General Practice Medicare: Accepting Medicare Assignments Practice Location: 200 W Academy Street, Gainesville, GA 30501 Phone: 770-282-8820
Miss Christine Oleg Sykalo, DO General Practice Medicare: Medicare Enrolled Practice Location: 743 Spring St Ne Ste 710, Gainesville, GA 30501 Phone: 770-219-8730
Jason Burch, MD General Practice Medicare: Not Enrolled in Medicare Practice Location: 8855 Bethel Rd, Gainesville, GA 30506 Phone: 518-232-8993
Rodolfo Bartolome Carrillo Sr., MD General Practice Medicare: Medicare Enrolled Practice Location: 420 Broad St Se, Gainesville, GA 30501 Phone: 770-536-8885 Fax: 770-536-8725
Alexander Juston Santos, DO General Practice Medicare: Medicare Enrolled Practice Location: 743 Spring St Ne, Gainesville, GA 30501 Phone: 770-219-8730

Dr Ellis Mossaded, MD - Medicare General Practice in Gainesville, GA