Deep Gautam Patel, PA-C, ATC/L - Medicare Physician Assistant in Roswell, GA

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Deep Gautam Patel, PA-C, ATC/L is a medicare enrolled "Physician Assistant" in Roswell, Georgia. He went to Mercer University School Of Medicine and graduated in 2018 and has 8 years of diverse experience with area of expertise as Physician Assistant. He is a member of the group practice Northside Surgical Professional Services Llc, Northside Urgent Care Holding Llc and his current practice location is 11685 Alpharetta Hwy, Roswell, Georgia. You can reach out to his office (for appointments etc.) via phone at (770) 619-3842.

Deep Gautam Patel is licensed to practice in NU (license number ) 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 1033603832.

Contact Information

Deep Gautam Patel, PA-C, ATC/L
11685 Alpharetta Hwy,
Roswell, GA 30076-4913
(770) 619-3842
Not Available

Map and Direction




Provider's Profile

Full NameDeep Gautam Patel
GenderMale
SpecialityPhysician Assistant
Experience8 Years
Location11685 Alpharetta Hwy, Roswell, Georgia
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Deep Gautam Patel attended and graduated from Mercer University School Of Medicine in 2018
  NPI Data:
  • NPI Number: 1033603832
  • Provider Enumeration Date: 06/15/2018
  • Last Update Date: 06/15/2018
  Medicare PECOS Information:
  • PECOS PAC ID: 8729332952
  • Enrollment ID: I20181107000228

Medical Identifiers

Medical identifiers for Deep Gautam Patel such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1033603832NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363A00000XPhysician Assistant (NU)Primary
2255A2300XSpecialist/technologist - Athletic Trainer (NU)Secondary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Northside HospitalAtlanta, GAHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Northside Surgical Professional Services Llc8628253424367
Northside Urgent Care Holding Llc458798469577

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. Deep Gautam Patel allows following entities to bill medicare on his behalf.
Entity NamePeachtree Immediate Care FP, LLC
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1437194156
PECOS PAC ID: 3274559323
Enrollment ID: O20051019000049
Entity NameNorthside Surgical Professional Services LLC
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1356630990
PECOS PAC ID: 8628253424
Enrollment ID: O20110420000598
Entity NameNorthside Urgent Care Holding LLC
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1679962237
PECOS PAC ID: 4587984695
Enrollment ID: O20150513000795

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. Deep Gautam Patel 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
Deep Gautam Patel, PA-C, ATC/L
5575 Fords Crossing Ct Nw,
Acworth, GA 30101-4806

Ph: Not Available		Deep Gautam Patel, PA-C, ATC/L
11685 Alpharetta Hwy,
Roswell, GA 30076-4913

Ph: (770) 619-3842

Reviews and Comments


Physician Assistant Nurses in Roswell, GA

Lisa Christine Montbellier, PA
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Phone: 770-475-2377    Fax: 770-442-0193
Vanna-marie Best Sheppard, PA
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Practice Location: 3000 Hospital Blvd, Roswell, GA 30076
Phone: 770-751-2777    Fax: 770-751-2707
Alysha Naran, PA-C
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Terra Mcdonald Bowers, P.A.
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Jessica Senft Retterbush, PA-C
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Phone: 770-521-2229    
David L Wharton, PA-C
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Practice Location: 1295 Hembree Rd, Suite 101, Roswell, GA 30076
Phone: 770-752-9499    Fax: 770-752-9166
Mrs. Raquel Ludwig, PA
Physician Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 2500 Hospital Blvd Ste 280, Roswell, GA 30076
Phone: 770-754-0787    Fax: 770-755-5890

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.