Sarfraz Ahmad Mohamed, MD is a medicare enrolled "Psychologist - Clinical Child & Adolescent" physician in Jonesboro, Georgia. His current practice location is
2400 Mount Zion Pkwy, Jonesboro, Georgia. You can reach out to his office (for appointments etc.) via phone at
(404) 365-0966.
Sarfraz Ahmad Mohamed is licensed to practice in * (Not Available) (license number ) 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 1356900385.
Physician's Profile
| Full Name | Sarfraz Ahmad Mohamed |
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| Gender | Male |
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| Speciality | Psychologist - Clinical Child & Adolescent |
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| Location | 2400 Mount Zion Pkwy, Jonesboro, Georgia |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1356900385
- Provider Enumeration Date: 06/12/2019
- Last Update Date: 06/13/2025
Medicare PECOS Information:
- PECOS PAC ID: 4981073939
- Enrollment ID: I20240812002717
Medical Identifiers
Medical identifiers for Sarfraz Ahmad Mohamed such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1356900385 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 2084P0800X | Psychiatry & Neurology - Psychiatry | 99366 (Georgia) | Secondary |
| 103TC2200X | Psychologist - Clinical Child & Adolescent | (* (Not Available)) | Primary |
| 2084P0800X | Psychiatry & Neurology - Psychiatry | 273R00000X (New York) | Secondary |
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. Sarfraz Ahmad Mohamed allows following entities to bill medicare on his behalf.
| Entity Name | The Southeast Permanente Medical Group |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1245266956 PECOS PAC ID: 6204829013 Enrollment ID: O20040407000370 |
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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. Sarfraz Ahmad Mohamed 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 |
Sarfraz Ahmad Mohamed, MD 283 Grandmar Chase, Canton, GA 30115-6435 Ph: () - | Sarfraz Ahmad Mohamed, MD 2400 Mount Zion Pkwy, Jonesboro, GA 30236-2500 Ph: (404) 365-0966 |
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