Jean Gustave Shoumou, MD is a medicare enrolled "Hospitalist" physician in Lithonia, Georgia. He graduated from medical school in 1999 and has 26 years of diverse experience with area of expertise as Internal Medicine. He is a member of the group practice Emory Specialty Associates, Llc and his current practice location is
2801 Dekalb Medical Parkway, Lithonia, Georgia. You can reach out to his office (for appointments etc.) via phone at
(404) 501-8492.
Jean Gustave Shoumou is licensed to practice in Georgia (license number 062772) and he also participates in the medicare program. He
accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1063619195.
Physician's Profile
| Full Name | Jean Gustave Shoumou |
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| Gender | Male |
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| Speciality | Internal Medicine |
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| Experience | 26 Years |
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| Location | 2801 Dekalb Medical Parkway, Lithonia, Georgia |
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| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Medical Education and Training:
- Jean Gustave Shoumou graduated from medical school in 1999
NPI Data:
- NPI Number: 1063619195
- Provider Enumeration Date: 07/02/2007
- Last Update Date: 01/30/2019
Medicare PECOS Information:
- PECOS PAC ID: 9436273323
- Enrollment ID: I20100830000451
Medical Identifiers
Medical identifiers for Jean Gustave Shoumou such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1063619195 | NPI | - | NPPES |
| 003104725C | Medicaid | GA | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 207R00000X | Internal Medicine | 062772 (Georgia) | Secondary |
| 207RI0200X | Internal Medicine - Infectious Disease | 062772 (Georgia) | Secondary |
| 208M00000X | Hospitalist | 062772 (Georgia) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
| Emory Specialty Associates, Llc | 3476559782 | 515 |
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. Jean Gustave Shoumou allows following entities to bill medicare on his behalf.
| Entity Name | 24 On Physicians Pc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1912956251 PECOS PAC ID: 5698688141 Enrollment ID: O20031216000444 |
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| Entity Name | Hospital Physician Services - Southeast Professional Corporation |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1760410385 PECOS PAC ID: 5597774554 Enrollment ID: O20060419000545 |
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| Entity Name | Emory Specialty Associates, Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1407864168 PECOS PAC ID: 3476559782 Enrollment ID: O20061010000447 |
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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. Jean Gustave Shoumou 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 |
Jean Gustave Shoumou, MD 2801 Dekalb Medical Pkwy, Ste. 301, Lithonia, GA 30058-4996 Ph: (404) 501-8492 | Jean Gustave Shoumou, MD 2801 Dekalb Medical Parkway, Lithonia, GA 30058 Ph: (404) 501-8492 |
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