Raven Ifoma Elosiebo-walker, MD - Medicare Dermatology in Tucker, GA

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Raven Ifoma Elosiebo-walker, MD is a medicare enrolled "Dermatology" physician in Tucker, Georgia. She went to University Of Tennessee, Hsc, College Of Medicine and graduated in 2011 and has 15 years of diverse experience with area of expertise as Dermatology. She is a member of the group practice Dermatology Specialists Of Georgia Llc and her current practice location is 1462 Montreal Rd Ste 411, Tucker, Georgia. You can reach out to her office (for appointments etc.) via phone at (404) 296-8000.

Raven Ifoma Elosiebo-walker is licensed to practice in Georgia (license number 74090) 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 1437441797.

Contact Information

Raven Ifoma Elosiebo-walker, MD
1462 Montreal Rd Ste 411,
Tucker, GA 30084-6932
(404) 296-8000
(770) 493-6842

Map and Direction




Physician's Profile

Full NameRaven Ifoma Elosiebo-walker
GenderFemale
SpecialityDermatology
Experience15 Years
Location1462 Montreal Rd Ste 411, Tucker, Georgia
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Raven Ifoma Elosiebo-walker attended and graduated from University Of Tennessee, Hsc, College Of Medicine in 2011
  NPI Data:
  • NPI Number: 1437441797
  • Provider Enumeration Date: 05/04/2011
  • Last Update Date: 03/04/2026
  Medicare PECOS Information:
  • PECOS PAC ID: 7416197520
  • Enrollment ID: I20150831003135

Medical Identifiers

Medical identifiers for Raven Ifoma Elosiebo-walker such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1437441797NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207N00000XDermatology 74090 (Georgia)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Dermatology Specialists Of Georgia Llc579977062414

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. Raven Ifoma Elosiebo-walker allows following entities to bill medicare on her behalf.
Entity NameDermatology Specialists Of Georgia Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1437298957
PECOS PAC ID: 5799770624
Enrollment ID: O20040419001229
Entity NameSoutheastern Dermatology Group Pa
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1518972231
PECOS PAC ID: 9931277233
Enrollment ID: O20130218000437

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. Raven Ifoma Elosiebo-walker 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 AddressPractice Location Address
Raven Ifoma Elosiebo-walker, MD
2505 Harrison Ave,
Panama City, FL 32405-4464

Ph: (850) 233-3376		Raven Ifoma Elosiebo-walker, MD
1462 Montreal Rd Ste 411,
Tucker, GA 30084-6932

Ph: (404) 296-8000

Reviews and Comments


Dermatology Doctors in Tucker, GA

Keith R Bruno, MD
Dermatology
Medicare: Accepting Medicare Assignments
Practice Location: 200 Crescent Center Pkwy, Department Of Dermatology, Tucker, GA 30084
Phone: 770-496-3605    Fax: 770-496-3707
Dr. Steven S Thomas, M.D.
Dermatology
Medicare: Medicare Enrolled
Practice Location: 2185 Northlake Pkwy, Suite 104, Tucker, GA 30084
Phone: 770-934-7200    Fax: 770-934-7243
Zlatan Oruc, M.D.
Dermatology
Medicare: Medicare Enrolled
Practice Location: 1777 Montreal Cir, Tucker, GA 30084
Phone: 770-934-9200    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.